GOLDEN LIFE FAMILY CARE HOME, LLC. (NPI# 1699127639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699127639 |
| Entity Type | Organization |
| Organization Name | GOLDEN LIFE FAMILY CARE HOME, LLC. |
| Practice Address |
1002 Westminster Ln Kinston NC 28501-2766 |
| Mailing Address |
Po Box 674 Kinston NC 28502-0674 |
| Practice Telephone | 2522088479 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | ASHLEY NICOLE CRATCH (ADMINISTRATOR) |
| Authorized Official Telephone | 2522088479 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOLDEN LIFE FAMILY CARE HOME, LLC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | FCL054072 | NC | Agencies |
| N | 251K00000X | Public Health or Welfare | FCL054072 | NC | Agencies |
| N | 253J00000X | Foster Care Agency | FCL054072 | NC | Agencies |
| N | 292200000X | Dental Laboratory | FCL054072 | NC | Laboratories |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
FCL054072 | NC | Nursing & Custodial Care Facilities |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL054072 | NC | Nursing & Custodial Care Facilities |
| N | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
FCL054072 | NC | Nursing & Custodial Care Facilities |
| N | 335G00000X | Medical Foods Supplier | FCL054072 | NC | Suppliers |
| N | 385HR2050X |
Respite Care Specialization: Respite Care Camp |
FCL054072 | NC | Respite Care Facility |
| Y | 253Z00000X | In Home Supportive Care | FCL054072 | NC | Agencies |
| Street Address |
1002 WESTMINSTER LN |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750737748 | Ashley Cratch | Home Health Aide | 1002 Westminster Ln, Kinston, NC 28501-2766 | 2016-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428871 | Taylor 5 Home Care Services LLC | In Home Supportive Care | 1907 Hardee Rd, Kinston, NC 28504-1905 | 2020-08-21 |
| 1174000814 | Og Ventures Inc | In Home Supportive Care | 3215 Jennifer Ln, Kinston, NC 28504-1211 | 2018-07-25 |
| 1548312002 | Abilities Inc. | In Home Supportive Care | 108 W Caswell St, Kinston, NC 28501-4814 | 2007-01-17 |
| 1487712352 | Home Life Care Inc | In Home Supportive Care | 810 W Vernon Ave, Kinston, NC 28501-3610 | 2006-12-04 |
| 1730731365 | Kenova Health Inc | In Home Supportive Care | 815 Hardee Rd, Kinston, NC 28504-3320 | 2019-07-13 |
| 1427385749 | Cnc / Access Inc. | In Home Supportive Care | 2500 N Herritage St, Suite 4, Kinston, NC 28501-1508 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487196 | Dublin Home Care, LLC | In Home Supportive Care | 112 King William Rd, Raleigh, NC 27610-1802 | 2020-11-03 |
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1275132821 | Infinite Favor Home Care Services LLC | In Home Supportive Care | 4373 Auburn Hills Dr, Raleigh, NC 27616-9309 | 2020-10-23 |
| 1043819972 | Natasha Lavinya Morgan | In Home Supportive Care | 915 First Tee Dr, High Point, NC 27263-2388 | 2020-10-21 |
| 1629677851 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1415 W Nc Highway 54 Ste 209, Durham, NC 27707-5597 | 2020-10-19 |
| 1417555848 | Fumani Investment LLC | In Home Supportive Care | 4822 Albemarle Rd Ste 280-b, Charlotte, NC 28205-6668 | 2020-10-16 |
| 1447858493 | Concept of Care Inc | In Home Supportive Care | 5115 Osage Cir, Charlotte, NC 28269-4693 | 2020-10-13 |
| 1780282723 | Kate Lyons | In Home Supportive Care | 5440 Atlantic Springs Rd Ste 109, Raleigh, NC 27616-1855 | 2020-10-12 |
| 1588261549 | Alliance Group 1 Home Care LLC | In Home Supportive Care | 244 Audubon Dr, Raeford, NC 28376-7269 | 2020-10-02 |
| 1598362741 | Quality Care Health Services Inc. | In Home Supportive Care | 301 S Church St Ste 168, Rocky Mount, NC 27804-5748 | 2020-10-01 |
| 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.