Provider Demographics
NPI:1487700597
Name:GOLDEN YEARS OF MURPHY
Entity type:Organization
Organization Name:GOLDEN YEARS OF MURPHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DIMARTINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:828-837-6769
Mailing Address - Street 1:37 TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-2938
Mailing Address - Country:US
Mailing Address - Phone:828-837-6769
Mailing Address - Fax:828-837-0974
Practice Address - Street 1:37 TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-2938
Practice Address - Country:US
Practice Address - Phone:828-837-6769
Practice Address - Fax:828-837-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2080251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7100442Medicaid
NC3409585Medicaid
NC6600995Medicaid