MEDICARE: GOLDEN COMPASSION SENIOR CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	374U00000X	Home Health Aide
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1639024177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN COMPASSION SENIOR CARE

Provider Business Mailing Address
First Line	:	4000 RIDGE ROCK DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-4041
Country	:	US
Telephone Number	:	469-260-4043
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 RIDGE ROCK DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-4041
Country	:	US
Telephone Number	:	469-260-4043
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MILTON JAMES BRAYBOY III
Credential	:
Telephone Number	:	469-260-4043

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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