Provider Demographics
NPI:1275122251
Name:GOLDEN HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:GOLDEN HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:OMODUNNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-671-4488
Mailing Address - Street 1:18850 CARSON DR
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-4065
Mailing Address - Country:US
Mailing Address - Phone:312-671-4488
Mailing Address - Fax:
Practice Address - Street 1:18850 CARSON DR
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-4065
Practice Address - Country:US
Practice Address - Phone:312-671-4488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care