GOLDEN AGE INC
NPI 1720073448
Nursing Facility/Intermediate Care Facility in Greenwood, MS

Q: What is Golden Age Inc's NPI number?

The NPI number for Golden Age Inc is 1720073448. It was assigned to this organization in the NPPES registry on September 19, 2005.

Q: What is Golden Age Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: When was this NPI record last updated?

The NPPES record for Golden Age Inc was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 19, 2005

2901 HIGHWAY 82 E, GREENWOOD, MS 38930(662) 453-6323(662) 455-9686 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Golden Age Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN AGE INC (NPI 1720073448) is a healthcare organization registered as a nursing facility/intermediate care facility in Greenwood, Mississippi and active in the NPI registry since September 2005. The organization lists Tabatha Watkins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720073448

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameGOLDEN AGE INC

Location Address2901 HIGHWAY 82 EGreenwood, MS 38930-6072

Mailing Address2901 Hwy 82 EGreenwood, MS 38930-6072 · (662) 453-6323 · Fax (662) 455-9686

Phone(662) 453-6323

Fax(662) 455-9686

Organization SubpartNo

Authorized OfficialTabatha WatkinsAdministrator · (662) 453-6323

Enumeration DateSeptember 19, 2005

Last NPPES UpdateJanuary 20, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1720073448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in MS · 46

Definition

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.

2901 HIGHWAY 82 E, Greenwood, MS 38930

Open in Google Maps ↗

Other Identifiers 1

Medicaid0023053MS

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRANDY G SMITH FNP-BC

Nurse Practitioner (Family)