Provider Demographics
NPI:1326855107
Name:GOLDEN GRACE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:GOLDEN GRACE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADE
Authorized Official - Middle Name:
Authorized Official - Last Name:GULEID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-8600
Mailing Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 300FF
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4518
Mailing Address - Country:US
Mailing Address - Phone:614-377-8600
Mailing Address - Fax:
Practice Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 300FF
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4518
Practice Address - Country:US
Practice Address - Phone:614-377-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health