Provider Demographics
NPI:1982422796
Name:GOLDEN HOMECARE LLC
Entity type:Organization
Organization Name:GOLDEN HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABABIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-898-8357
Mailing Address - Street 1:6194 FLUTIE LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1482
Mailing Address - Country:US
Mailing Address - Phone:410-940-9631
Mailing Address - Fax:
Practice Address - Street 1:2110 PRIEST BRIDGE DR STE 3
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2472
Practice Address - Country:US
Practice Address - Phone:240-898-8357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty