1235290768 NPI number — FAMILY/GOLDEN AGE CARE LLC

Table of content: (NPI 1235290768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235290768 NPI number — FAMILY/GOLDEN AGE CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY/GOLDEN AGE CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235290768
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7325 BELL STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCHERERVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46375-3524
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-980-1839
Provider Business Mailing Address Fax Number:
219-322-7210

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7325 BELL STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCHERERVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46375-3524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-980-1839
Provider Business Practice Location Address Fax Number:
219-322-7210
Provider Enumeration Date:
12/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MBANU
Authorized Official First Name:
GLORIA
Authorized Official Middle Name:
NKECHI
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
219-980-1839

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200501790 . This is a "MEDICAID WAIVER" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com