Provider Demographics
NPI:1366078859
Name:GOLDEN AIDE CONCIERGE
Entity type:Organization
Organization Name:GOLDEN AIDE CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAIQUIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-539-1558
Mailing Address - Street 1:5751 GREENHOUSE RD APT 638
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3467
Mailing Address - Country:US
Mailing Address - Phone:713-539-1558
Mailing Address - Fax:
Practice Address - Street 1:5751 GREENHOUSE RD APT 638
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3467
Practice Address - Country:US
Practice Address - Phone:713-539-1558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health