Provider Demographics
NPI:1245752633
Name:GOLDEN YEARS HOME CARE SERVICES OF MASSACHUSETTS
Entity Type:Organization
Organization Name:GOLDEN YEARS HOME CARE SERVICES OF MASSACHUSETTS
Other - Org Name:GOLDEN YEARS HOME CARE SERVICES OF MASSACHUSETTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-209-8208
Mailing Address - Street 1:16 SHAKER RD
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-2731
Mailing Address - Country:US
Mailing Address - Phone:413-209-8208
Mailing Address - Fax:413-570-7252
Practice Address - Street 1:16 SHAKER RD
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-2731
Practice Address - Country:US
Practice Address - Phone:413-209-8208
Practice Address - Fax:413-570-7252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251J00000X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy