Provider Demographics
NPI:1164967212
Name:GOLDEN SUN HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:GOLDEN SUN HOME HEALTH CARE LLC
Other - Org Name:GOLDEN SUN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-322-8895
Mailing Address - Street 1:PO BOX 11394
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-4894
Mailing Address - Country:US
Mailing Address - Phone:828-322-8895
Mailing Address - Fax:
Practice Address - Street 1:437 MAIN AVE SW
Practice Address - Street 2:SUITE 1-R
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-2657
Practice Address - Country:US
Practice Address - Phone:828-322-8895
Practice Address - Fax:828-322-8896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-28
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health