Provider Demographics
NPI:1164861472
Name:GOLDEN CARE INSTITUTE, INC.
Entity Type:Organization
Organization Name:GOLDEN CARE INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:310-634-2259
Mailing Address - Street 1:5150 CANDLEWOOD ST
Mailing Address - Street 2:SUITE 21B
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1925
Mailing Address - Country:US
Mailing Address - Phone:562-920-6200
Mailing Address - Fax:562-920-6300
Practice Address - Street 1:5150 CANDLEWOOD ST
Practice Address - Street 2:SUITE 21B
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1925
Practice Address - Country:US
Practice Address - Phone:562-920-6200
Practice Address - Fax:562-920-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care