GOLDEN AGE NURSING CENTER, LLC

Nursing Facility/Intermediate Care Facility

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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Contact Information

GOLDEN AGE NURSING CENTER, LLC

5877 AIMWELL RD.
JENA, LA 71342-3020

Phone: 318-992-4175
Fax: 318-992-4177
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nursing Facility/Intermediate Care Facility	313M00000X	A3[10]	Other Nursing Facility
Nursing Facility Supplies	332BN1400X	87	All Other Suppliers
Skilled Nursing Facility	314000000X	A1[8]	Skilled Nursing Facility

Indicates primary specialty

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NPI Profile & details for GOLDEN AGE NURSING CENTER, LLC

NPI Number 1013016567

LBN Legal business name GOLDEN AGE NURSING CENTER, LLC

Authorized official CHARLES MCCARTNEY - (OWNER/MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/21/2006

Last updated 09/23/2008 - About 18 years ago

Identifiers

LA	License #	481
LA	Medicaid	1520250
LA	Medicaid	1684317

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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