GOLDEN YEARS HEALTHCARE LLC (NPI# 1417497306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417497306 |
| Entity Type | Organization |
| Organization Name | GOLDEN YEARS HEALTHCARE LLC |
| Other Organization Name | GOLDEN YEARS HOME CARE AGENCY LLC |
| Practice Address |
201 Humphrey Ave Marks MS 38646-1122 |
| Mailing Address |
Po Box 372 Marks MS 38646-0372 |
| Practice Telephone | 6623263585 |
| Practice Fax Number | 6623263586 |
| Mailing Telephone | 6623260449 |
| Mailing Fax Number | 6623263586 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MRS. PATRICIA WRIGHT HANKINS (MANAGER) |
| Authorized Official Telephone | 6623263585 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOLDEN YEARS HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 1417497306 | 05 |
| Other Name | Type Code |
|---|---|
| Golden Years Home Care Agency LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 702 Cherry St, Helena, AR 723423308 | 6623260449 | 6623263586 |
| Street Address |
201 HUMPHREY AVE |
| City | MARKS |
| State | MS |
| Zip Code | 38646-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356765101 | Healthyland Adult Day Care, LLC | Custodial Care Facility | 227 Pecan Street, Marks, MS 38646 | 2014-02-14 |
| 1164573176 | Warrington Clinic, P.a. | Family Medicine | 1022 Martin Luther King Drive, Pob 289, Marks, MS 38646 | 2007-01-16 |
| 1205932076 | Medstock, Inc. | Durable Medical Equipment & Medical Supplies | 206 East Main Street, Marks, MS 38646 | 2006-09-16 |
| 1538167564 | Aaron E. Henry Community Health | Clinic/Center | Hwy 3 South, Marks, MS 38646 | 2005-07-13 |
| 1700020278 | Karanpreet S Bains | Internal Medicine | 411 Poplar Street, Marks, MS 38646 | 2009-04-28 |
| 1790873669 | Dons Pharmacy Inc | Pharmacist | 200 E Main St, Marks, MS 38646 | 2006-10-10 |
| 1821001041 | Richard Edwin Waller | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-08-15 |
| 1578665840 | Salvador Nierras Petilos | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-09-05 |
| 1114127099 | George Edward Farrell | Nurse Practitioner | 411 Poplar Street, Marks, MS 38646-0347 | 2007-07-19 |
| 1992979124 | Quitman County School District | Local Education Agency (LEA) | Highway 3 South, Marks, MS 38646-0805 | 2008-04-18 |
| Find all providers in zip 38646 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904704 | Henderson Ward Stewart Elementary | Early Intervention Provider Agency | 200a Martin Luther King Jr Dr W, Starkville, MS 39759-2890 | 2016-11-04 |
| 1609240621 | Creative Occupational Therapy Soultions1074212 | Early Intervention Provider Agency | 103 Peninsula Dr, Leland, MS 38756-3019 | 2015-11-16 |
| 1962894014 | Lagrand Elliott | Early Intervention Provider Agency | 107 Meadow Pointe Cv, Brandon, MS 39042-5014 | 2015-02-26 |
| 1063754083 | Midsouth Therapy Solutions | Early Intervention Provider Agency | 3130 Mcingvale Rd, Hernando, MS 38632-8795 | 2013-03-18 |
| 1952693848 | Mid Jackson Family Health Clinic | Early Intervention Provider Agency | 514 E Woodrow Wilson Ave # C, Jackson, MS 39216-4538 | 2011-05-10 |
| 1982902797 | Dra Health Services LLC | Early Intervention Provider Agency | 248 Woodland Brook Dr, Madison, MS 39110 | 2011-03-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1518128925 | Ability LLC | Early Intervention Provider Agency | 285 Holmes Pittman Rd, Foxworth, MS 39483-3166 | 2008-06-18 |
| 1568644383 | Superior Home Care | Early Intervention Provider Agency | 130 County Road 2700, Shubuta, MS 39360-8600 | 2007-12-04 |
| 1578751723 | Mississippi Families for Kids | Early Intervention Provider Agency | 620 N State St, 304, Jackson, MS 39202-3305 | 2007-10-11 |
| Find all providers with the same taxonomy | ||||
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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.