MEDICARE: GOLDEN AGE PARENTAL 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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1184582587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN AGE PARENTAL CARE LLC

Provider Business Mailing Address
First Line	:	1719 ANGEL PKWY
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-2663
Country	:	US
Telephone Number	:	214-355-8628
Fax Number	:

Provider Business Practice Location Address
First Line	:	247 E SOUTHWEST PKWY
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-2318
Country	:	US
Telephone Number	:	214-355-8628
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. HENDRIX UDABOR
Credential	:	MD
Telephone Number	:	214-355-8628

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

Similar Medicare Providers

1982562278 — GOLDEN AGE PARENTAL CARE LLC
Practice Location Address:

247 E SOUTHWEST PKWY
LEWISVILLE, TX
75067-2318

Practice Phone: 214-355-8628
Practice Fax:

1538437710 — CHRISTINA BERGMAN MA
Practice Location Address:

2318 QUEEN MORGAN LN
LEWISVILLE, TX
75056

Practice Phone: 972-824-9774
Practice Fax:

1043160922 — BUMM KIM DC
Practice Location Address:

724 W MAIN ST STE 450
LEWISVILLE, TX
75067-3582

Practice Phone: 972-353-7711
Practice Fax: 972-219-0041

1295376630 — KEHINDE ROMOKE AMOSUN FNP
Practice Location Address:

873 S STEMMONS FWY
LEWISVILLE, TX
75067-5351

Practice Phone: 214-395-8659
Practice Fax: 833-966-2321

1952560054 — REBECCA ETTA ACPN-BC
Practice Location Address:

2300 ROCKBROOK DR , SUITE 100 C
LEWISVILLE, TX
75067-8181

Practice Phone: 972-459-6632
Practice Fax: 972-459-6626

1326905720 — TOYOSI IKEADE OMOLE NP
Practice Location Address:

873 S STEMMONS FWY # 100
LEWISVILLE, TX
75067-5351

Practice Phone: 214-377-0541
Practice Fax:

Directions to “GOLDEN AGE PARENTAL CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.