Provider Demographics
NPI:1992275184
Name:GOLDEN HOME CARE L.L.C.
Entity type:Organization
Organization Name:GOLDEN HOME CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NILDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-879-3384
Mailing Address - Street 1:3530 E FLAMINGO RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5091
Mailing Address - Country:US
Mailing Address - Phone:702-462-2660
Mailing Address - Fax:775-571-0502
Practice Address - Street 1:3530 E FLAMINGO RD STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5091
Practice Address - Country:US
Practice Address - Phone:702-462-2660
Practice Address - Fax:775-571-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health