Golden Age Inc
NPI 1720073448ActiveOrganization· Nursing Facility/Intermediate Care Facility· Greenwood, MS
Nursing Facility/Intermediate Care Facility in Greenwood, Mississippi, registered in NPPES in September 2005. The authorized official on file is Tabatha Watkins, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1720073448 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2005 |
| Last updated in NPPES | Jan 20, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 46 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MS) |
|---|