Provider Demographics
NPI:1215939913
Name:GOLDEN CARE INC.
Entity type:Organization
Organization Name:GOLDEN CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EDI IT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:MCDBA
Authorized Official - Phone:501-372-4405
Mailing Address - Street 1:323 S CROSS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-1911
Mailing Address - Country:US
Mailing Address - Phone:501-372-4405
Mailing Address - Fax:888-375-3398
Practice Address - Street 1:323 S CROSS ST
Practice Address - Street 2:SUITE B
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-1911
Practice Address - Country:US
Practice Address - Phone:501-372-4405
Practice Address - Fax:888-375-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR5306640001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5306640001Medicare NSC