Provider Demographics
NPI:1033963608
Name:MY GOLDEN WAY MR INC
Entity Type:Organization
Organization Name:MY GOLDEN WAY MR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:RAULINO
Authorized Official - Last Name:NOGUEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-277-5701
Mailing Address - Street 1:16900 N BAY RD APT 2302
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-6274
Mailing Address - Country:US
Mailing Address - Phone:786-277-5701
Mailing Address - Fax:
Practice Address - Street 1:323 SUNNY ISLES BLVD FL 7
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4232
Practice Address - Country:US
Practice Address - Phone:305-896-5847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No251E00000XAgenciesHome Health