Organization · Type 2 NPI

Golden Age HH Opco LLC

Skilled Nursing Facility · Dublin, TX

NPI number 1376191205 Active

Practice location

704 E Dobkins St
Dublin, TX 76446-2419

Fax (254) 445-4276

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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NPI record

NPI: 1376191205
Entity type: Organization (Type 2)
Issued: Sep 4, 2019
Last updated: Sep 20, 2019
Status: Active

Other names

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Golden Age Healthcare Residence · doing business as
Golden Age Healthcare Residence · doing business as

Authorized official

Erich Wahl
CEO
(936) 262-3014

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376191205

Golden Age HH Opco LLC's National Provider Identifier is 1376191205, issued on Sep 4, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Dublin, TX. The record was last updated on Sep 20, 2019.