MEDICARE: GOLDEN PATHWAY 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1649114752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN PATHWAY LLC

Provider Business Mailing Address
First Line	:	1784 SIDESTREET CIR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-1776
Country	:	US
Telephone Number	:	770-289-7282
Fax Number	:

Provider Business Practice Location Address
First Line	:	1784 SIDESTREET CIR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-1776
Country	:	US
Telephone Number	:	770-289-7282
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICHOLAS GOLDBERG
Credential	:
Telephone Number	:	770-289-7282

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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