Provider Demographics
NPI:1932712924
Name:GOLDEN TIME HOSPICE, INC.
Entity type:Organization
Organization Name:GOLDEN TIME HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:213-700-4222
Mailing Address - Street 1:24355 LYONS AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2389
Mailing Address - Country:US
Mailing Address - Phone:661-490-9910
Mailing Address - Fax:661-490-9920
Practice Address - Street 1:24355 LYONS AVE STE 235
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2389
Practice Address - Country:US
Practice Address - Phone:661-490-9910
Practice Address - Fax:661-490-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based