Provider Demographics
NPI:1447787478
Name:GOLDEN OAK CARE, INC
Entity Type:Organization
Organization Name:GOLDEN OAK CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEI
Authorized Official - Middle Name:W
Authorized Official - Last Name:YAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:408-759-0431
Mailing Address - Street 1:3031 MIRASSOU ESTATE PL
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-2383
Mailing Address - Country:US
Mailing Address - Phone:408-759-0431
Mailing Address - Fax:
Practice Address - Street 1:2761 CASTLETON DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-3509
Practice Address - Country:US
Practice Address - Phone:408-759-0431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPENDING310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility