Provider Demographics
NPI:1265313688
Name:GOLDEN HEALTH CARE LLC
Entity type:Organization
Organization Name:GOLDEN HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LA'SHUNDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN-WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:318-828-1365
Mailing Address - Street 1:460 ASHLEY RIDGE BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7238
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:460 ASHLEY RIDGE BLVD STE 600
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-7238
Practice Address - Country:US
Practice Address - Phone:318-828-1365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty