GOLDEN AGE HOME CARE (NPI# 1598362840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598362840 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE HOME CARE |
| Practice Address |
12706 Mutiny Ln Tomball TX 77377-8420 |
| Practice Telephone | 8323348633 |
| Mailing Telephone | 8323348633 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | JACQUELINE POMMELLS (OWNER) |
| Authorized Official Telephone | 8323348633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003268400 | Golden Age Home Care | Home Health | 140 Casals Pl, Suite 30l, Bronx, NY 10475-3202 | 2016-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Golden Age Home Care | 6990 W. 38th Ave, Wheat Ridge, CO 80033 |
| New York State Corporations | GOLDEN AGE HOME CARE INC | 71-16 35th Avenue, Jackson Heights, Ny 11372 |
| Colorado Business Entities | GOLDEN AGE HOME CARE LLC | 6990 W. 38 Avenue, Suite 100-A, Wheat Ridge, CO 80033 |
| Connecticut Business Registrations | GOLDEN AGE HOME CARE LLC | 58 Oakland Terrace, Hartford, CT 06112 |
| New York State Corporations | GOLDEN AGE HOME CARE, INC. | 2512 14th Pl, Astoria, New York 11102 |
| Street Address |
12706 MUTINY LN |
| City | TOMBALL |
| State | TX |
| Zip Code | 77377-8420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801594 | Gavin John Le Nobel | Otolaryngology | 14211 Fm 2920 Road, Suite 110, Tomball, TX 77377 | 2020-08-14 |
| 1144855057 | P&l Transportation LLC | Private Vehicle | 21834 E Yaupon Circle, Tomball, TX 77377 | 2020-03-11 |
| 1033767520 | Daniel Max & Marcandrea, LLC | Optometrist | 14090 Farm To Market 2920, Suite B, Tomball, TX 77377 | 2019-08-28 |
| 1932682689 | Donna C. Brown | Licensed Vocational Nurse | 11743 Northpointe Blvd. Tomball, Texas, Apt. 1131, Tomball, TX 77377 | 2018-09-10 |
| 1972097491 | Latrisala Bankston | Nurse Practitioner | 15535 Downford Dr, Tomball, TX 77377 | 2018-06-18 |
| 1700377249 | Yen Bui | Physician Assistant | 11931 Laurel Meadow Dr, Tomball, TX 77377 | 2018-05-21 |
| 1487165593 | Melanie Abella | Behavioral Analyst | 17418 Sunset Arbor Dr, Tomball, TX 77377 | 2017-10-16 |
| 1366991457 | Ida Echols | Specialist/Technologist, Other | 16131 N. Eldridge Pkwy Suite 200, Suite 5, Tomball, TX 77377 | 2016-09-29 |
| 1861861635 | Tayloe Douglas | Student in an Organized Health Care Education/Training Program | 15451 Kenny Drive, Tomball, TX 77377 | 2015-09-22 |
| 1578930343 | Han Bui | Optometrist | 14079 Fm 2920 Tomball Tx 77377, Tomball, TX 77377 | 2015-08-28 |
| Find all providers in zip 77377 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578706867 | Steps of Life Systems Inc. | Assisted Living Facility | 14331 Alice Rd, Tomball, TX 77377-6225 | 2009-04-16 |
| 1932364973 | Harvest Home, Inc. | Assisted Living Facility | 520 Baker Dr, Tomball, TX 77375-4121 | 2008-07-18 |
| 1497961957 | Southern Knights, Inc. | Assisted Living Facility | 27919 Johnson Rd, Tomball, TX 77375-6427 | 2007-05-14 |
| 1184726945 | Hsmtx/stallones-tomball, LLC | Assisted Living Facility | 13415 Medical Complex Dr, Tomball, TX 77375-3309 | 2006-09-02 |
| 1699278853 | Hands of Hope Home Care | Assisted Living Facility | 600 Mason St, Tomball, TX 77375-4477 | 2018-03-14 |
| 1093102840 | Southern Knights | Assisted Living Facility | 27919 Johnson Rd, Tomball, TX 77375-6427 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1548860067 | Zenith Care Inc | Assisted Living Facility | 1513 Baffin Bay Dr, Plano, TX 75075-2203 | 2020-10-26 |
| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| 1790399525 | Springfield Senior Living LLC | Assisted Living Facility | 1817 Royal Crest Drive, Garland, TX 75043-1023 | 2020-08-31 |
| 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.