GOLDEN AGE NURSING CENTER LLC NPI 1013016567

NPI Information

  • NPI: 1013016567
  • Provider Name: GOLDEN AGE NURSING CENTER, LLC
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Address: 5877 AIMWELL RD.
    JENA, LA
    ZIP 71342
  • Phone: (318) 992-4175

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NPI Details

GOLDEN AGE NURSING CENTER, LLC is a nursing facility intermediate care facility in Jena, LA. The provider is 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. GOLDEN AGE NURSING CENTER, LLC NPI is 1013016567. The provider is registered as an organization entity type.

The provider's business location address is:

5877 AIMWELL RD.
JENA, LA
ZIP 71342-020
Phone: (318) 992-4175
Fax: (318) 992-4177

The provider's authorized official is Charles B. Mccartney .
The authorized official title is Owner/manager and has the following contact phone number (318) 992-4175.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 9/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility481LOUISIANANo
2332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility Supplies481LOUISIANANo
3313M00000XNursing Facility/Intermediate Care Facility481LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11520250MEDICAIDLOUISIANA
21684317MEDICAIDLOUISIANA
3195399MEDICARE OSCAR/CERTIFICATIONLOUISIANA
41039820001MEDICARE NSCLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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