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NPI Code Detail

MEDICARE: GOLDEN PASSAGES CONCIERGE CARE LLC

MEDICARE: GOLDEN PASSAGES CONCIERGE CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1417880766
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN PASSAGES CONCIERGE CARE LLC
Provider Business Mailing Address
First Line : 2121 MID LN APT 582
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3899
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MID LN APT 582
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3899
Country : US
Telephone Number : 713-591-9511
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PHILLINA LOFTON
Credential :
Telephone Number : 713-591-9511
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “GOLDEN PASSAGES CONCIERGE CARE LLC ” Practice Location

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