GOLDEN AGE OF WELSH, L.L.C. (NPI# 1588745335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588745335 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE OF WELSH, L.L.C. |
| Other Organization Name | GOLDEN AGE OF WELSH, L.L.C. |
| Practice Address |
410 S Simmons St Welsh LA 70591-5028 |
| Practice Telephone | 3377342555 |
| Practice Fax Number | 3377342024 |
| Mailing Telephone | 3377342555 |
| Mailing Fax Number | 3377342024 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | MR. JAMES AARON JOUBERT JR. (OWNER) |
| Authorized Official Telephone | 3377342555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 733 | LA | Nursing & Custodial Care Facilities |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 314000000X | Skilled Nursing Facility | 733 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1513539 | 05 |
| Other Name | Type Code |
|---|---|
| Golden Age of Welsh, L.L.C. | Doing Business As Name - Organization |
| Street Address |
410 S SIMMONS ST |
| City | WELSH |
| State | LA |
| Zip Code | 70591-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902868649 | Mark G Petry | Dentist | 219 S Adams Street, Welsh, LA 70591 | 2006-04-06 |
| 1689231771 | Jaquetta Celestine | Licensed Vocational Nurse | 209 W Rowson St, Welsh, LA 70591-3551 | 2019-05-23 |
| 1861424293 | Young Hee Kang | Family Medicine | 107 S Elms St, Welsh, LA 70591-4211 | 2006-07-07 |
| 1508071077 | Ralph Gerald Osborn | Pharmacist | 110 W South St, Welsh, LA 70591-4246 | 2007-05-10 |
| 1356377097 | Welsh Family Practice Clinic | Nurse Practitioner | 308 Palmer St, Welsh, LA 70591-4320 | 2006-06-24 |
| 1053711887 | Transafrican Development, Inc. | Clinic/Center | 308 Palmer St, Welsh, LA 70591-4320 | 2014-08-28 |
| 1033432430 | Harold Wayne Bertrand | Nurse Practitioner | 308 Palmer St, Welsh, LA 70591-4320 | 2010-03-12 |
| 1881692218 | Yvonne H. Krielow | Nurse Practitioner | 708 E Russell Ave, Welsh, LA 70591-4844 | 2005-07-11 |
| 1235305962 | The Clinic of Welsh | Nurse Practitioner | 708 E Russell Ave, Welsh, LA 70591-4844 | 2008-05-02 |
| 1811434889 | Church Point Drug Inc | Pharmacy | 514 E Russell Ave, Welsh, LA 70591-4848 | 2017-01-27 |
| Find all providers in zip 70591 | ||||
| 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. |
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| 1710464664 | Camelot of North Oaks LLC | Skilled Nursing Facility | 1560 Hwy 51, Ponchatoula, LA 70454-1560 | 2018-07-24 |
| 1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
| 1225534662 | Lhcg Xii, LLC | Skilled Nursing Facility | 2810 Ambassador Caffery Pkwy Fl 5, Lafayette, LA 70506-5906 | 2018-04-04 |
| 1518474238 | Colonial Manor Nursing and Rehabilitation Home Inc | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-01-03 |
| 1962916726 | Mpd Operators Nazareth Hall LLC | Skilled Nursing Facility | 1905 N 7th St, West Monroe, LA 71291-4415 | 2017-11-30 |
| 1962934505 | Notre Dame Health System | Skilled Nursing Facility | 5600 General Degaulle Dr, New Orleans, LA 70131-7247 | 2017-04-02 |
| 1699225813 | Claiborne Operator Group LLC | Skilled Nursing Facility | 6942 Highway 79, Homer, LA 71040-2023 | 2016-10-12 |
| 1285180158 | Northshore Provider Group LLC | Skilled Nursing Facility | 48529 Red Fox Dr, Hammond, LA 70401-3715 | 2016-08-30 |
| 1518348259 | Ruston Scc LLC | Skilled Nursing Facility | 2401 N Service Rd E, Ruston, LA 71270-2342 | 2015-06-17 |
| 1861873770 | Booker Scc LLC | Skilled Nursing Facility | 7605 Line Ave, Shreveport, LA 71106-5162 | 2015-06-16 |
| 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.