Organization
GOLDEN AGE FOUNDATION
Active
Organization
GOLDEN AGE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELL KELLY CNA, RMA (CEO)
(770) 374-2523
Entity
Organization
Contact information
Practice address
126 CARTER CIR, WARNER ROBINS, GA 31093-2910
(678) 779-1388
(478) 203-8653
Mailing address
126 CARTER CIR, WARNER ROBINS, GA 31093-2910
(678) 779-1388
(478) 203-8653
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/04/2026
Last updated
07/30/2026
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