Golden Age Inc

LBN: Golden Age Inc
Golden Age Inc is an health care organization with primary practice located at 2901 Highway 82 E , Greenwood MS 38930-6072. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Golden Age Inc can be contacted via phone (662) 453-6323, or through Watkins, Tabatha via phone (662) 453-6323.

Contact Information

Primary practice address
2901 Highway 82 E Greenwood MS 38930-6072
Phone: (662) 453-6323
Fax: (662) 455-9686
Website:
Map and Directions
Authorized official contact:
Name: Watkins, Tabatha
Phone: (662) 453-6323

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 46 Mississippi

Profile Details

NPI number 1720073448
LBN Legal business name Golden Age Inc
DBA Doing business as
Authorized official Watkins, Tabatha
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 20th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720073448 NPPES
Mississippi MEDICAID 0023053

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