GOLDEN AGE HH OPCO LLC (NPI# 1376191205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376191205 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE HH OPCO LLC |
| Other Organization Name | GOLDEN AGE HEALTHCARE RESIDENCE |
| Practice Address |
704 E Dobkins St Dublin TX 76446-2419 |
| Practice Telephone | 2544453370 |
| Practice Fax Number | 2544454276 |
| Mailing Telephone | 2544453370 |
| Mailing Fax Number | 2544454276 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | ERICH WAHL (CEO) |
| Authorized Official Telephone | 9362623014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Golden Age Healthcare Residence | Doing Business As Name - Organization |
| Street Address |
704 E DOBKINS ST |
| City | DUBLIN |
| State | TX |
| Zip Code | 76446-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235177858 | Golden Age Mnagement Company, LLC | Skilled Nursing Facility | 704 E Dobkins St, Dublin, TX 76446-2419 | 2006-06-04 |
| 1144704628 | Jessica Dian Thornton | Occupational Therapy Assistant | 704 E Dobkins St, Dublin, TX 76446-2419 | 2018-09-20 |
| 1801377288 | Jeanne-anne Drummond | Occupational Therapy Assistant | 704 E Dobkins St, Dublin, TX 76446-2419 | 2018-08-23 |
| 1437526787 | Golden Hc Operator LLC | Skilled Nursing Facility | 704 E Dobkins St, Dublin, TX 76446-2419 | 2015-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865748 | Melanie D Spoon | Licensed Practical Nurse | 777 Pr 1183, Dublin, TX 76446 | 2020-06-11 |
| 1891241741 | Dublin Independent School District | Local Education Agency (LEA) | 420 N Post Oak, Dublin, TX 76446 | 2016-08-31 |
| 1093852337 | Richard Van Harbin | Dentist | 117 N Grafton, Dublin, TX 76446 | 2007-01-30 |
| 1063654689 | Fibromyalgis and Chronic Pain Assocs. | Contractor | 402 Hoffman Dr, Dublin, TX 76446-1120 | 2009-03-27 |
| 1881826188 | Mua Services of Texas | Chiropractor | 402 Hoffman Dr, Dublin, TX 76446-1120 | 2009-08-20 |
| 1326104696 | Best Value Pharmacies Inc | Pharmacy | 604 N Patrick St, Dublin, TX 76446-1122 | 2006-12-29 |
| 1013573088 | Kellie Maude St.germain | Pharmacy Technician | 604 N Patrick St, Dublin, TX 76446-1122 | 2019-05-15 |
| 1366008658 | Jill Meredith Moore | Pharmacist | 604 N Patrick St, Dublin, TX 76446-1122 | 2019-05-13 |
| 1962067850 | Angelee Gibson | Pharmacist | 604 N Patrick St, Dublin, TX 76446-1122 | 2019-05-06 |
| 1336411826 | Sammy Dewayne Moore | Pharmacist | 110 Scenic Dr, Dublin, TX 76446-1158 | 2012-01-31 |
| Find all providers in zip 76446 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649720350 | Rasheedm.d.corporation | Skilled Nursing Facility | 4662 Vasari St, Dublin, CA 94568-4250 | 2016-10-05 |
| 1710388699 | Sl Snf, LLC | Skilled Nursing Facility | 606 Simmons St, Dublin, GA 31021-3918 | 2014-09-10 |
| 1225438427 | Continuing Healthcare Solutions, Inc. | Skilled Nursing Facility | 5990 Venture Dr, Suite A, Dublin, OH 43017-2272 | 2014-08-26 |
| 1013332337 | Manorcare Health Services LLC | Skilled Nursing Facility | 4075 W Dublin Granville Rd, Dublin, OH 43017-1436 | 2014-02-24 |
| 1104999846 | Healthcare Ventures of Ohio LLC | Skilled Nursing Facility | 6430 Post Rd, Dublin, OH 43016-1226 | 2006-11-17 |
| 1962592667 | Ahf Management Corp | Skilled Nursing Facility | 4248 Tuller Rd, Dublin, OH 43017-5025 | 2006-10-13 |
| 1750478947 | Thi of Georgia At Shamrock, LLC | Skilled Nursing Facility | 1634 Telfair St, Dublin, GA 31021-3115 | 2006-10-07 |
| 1841233970 | Cook Management Services Inc | Skilled Nursing Facility | 300 Industrial Blvd, Dublin, GA 31021-2800 | 2006-06-14 |
| 1235177858 | Golden Age Mnagement Company, LLC | Skilled Nursing Facility | 704 E Dobkins St, Dublin, TX 76446-2419 | 2006-06-04 |
| 1972558989 | Erin Nursing LLC | Skilled Nursing Facility | 606 Simmons Street, Dublin, GA 31021-3918 | 2006-05-24 |
| Find all providers in DUBLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.