Provider Demographics
NPI:1124320833
Name:HILLS OF GOLD INC.
Entity type:Organization
Organization Name:HILLS OF GOLD INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-496-0833
Mailing Address - Street 1:3140 DE LA CRUZ BOULEVARD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-2406
Mailing Address - Country:US
Mailing Address - Phone:408-496-0833
Mailing Address - Fax:
Practice Address - Street 1:3140 DE LA CRUZ BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-2406
Practice Address - Country:US
Practice Address - Phone:408-496-0833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health