Provider Demographics
NPI:1275526923
Name:GOLD HORSES, LLC
Entity Type:Organization
Organization Name:GOLD HORSES, LLC
Other - Org Name:DEL CIELO HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIZONDO
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:361-664-3484
Mailing Address - Street 1:411 N KING ST
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4763
Mailing Address - Country:US
Mailing Address - Phone:361-664-3484
Mailing Address - Fax:361-664-5550
Practice Address - Street 1:411 N KING ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4763
Practice Address - Country:US
Practice Address - Phone:361-664-3484
Practice Address - Fax:361-664-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-29
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005343251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024351101Medicaid
TX171819Medicare PIN