Provider Demographics
NPI:1326682667
Name:GOLDEN SUNSHINE ALZHEIMER'S HOME CARE, INC.
Entity Type:Organization
Organization Name:GOLDEN SUNSHINE ALZHEIMER'S HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABUCANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-860-5118
Mailing Address - Street 1:7765 CLEARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-0301
Mailing Address - Country:US
Mailing Address - Phone:702-798-8008
Mailing Address - Fax:702-798-8008
Practice Address - Street 1:7765 CLEARWOOD AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-0301
Practice Address - Country:US
Practice Address - Phone:702-798-8008
Practice Address - Fax:702-798-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home