Provider Demographics
NPI:1346954922
Name:GOLDEN ANGELS PHC
Entity Type:Organization
Organization Name:GOLDEN ANGELS PHC
Other - Org Name:GOLDEN ANGELS PHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIZBETH
Authorized Official - Middle Name:IRASEMA
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-667-4102
Mailing Address - Street 1:19 N 17TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4821
Mailing Address - Country:US
Mailing Address - Phone:956-587-2941
Mailing Address - Fax:956-322-5805
Practice Address - Street 1:19 N 17TH ST STE D
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4821
Practice Address - Country:US
Practice Address - Phone:956-587-2941
Practice Address - Fax:956-322-5805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care