Provider Demographics
NPI:1437853587
Name:GOLDEN CROSS HOME CARE, LLC.
Entity Type:Organization
Organization Name:GOLDEN CROSS HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAFFI
Authorized Official - Middle Name:
Authorized Official - Last Name:POGOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-353-1542
Mailing Address - Street 1:7762 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2700
Mailing Address - Country:US
Mailing Address - Phone:702-240-7711
Mailing Address - Fax:702-240-7721
Practice Address - Street 1:7762 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2700
Practice Address - Country:US
Practice Address - Phone:702-240-7711
Practice Address - Fax:702-240-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care