Provider Demographics
NPI:1477894020
Name:GOLDEN CARE ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:GOLDEN CARE ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-426-4615
Mailing Address - Street 1:9716 NORTHERN BLVD
Mailing Address - Street 2:1ST FL
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-1044
Mailing Address - Country:US
Mailing Address - Phone:718-426-4615
Mailing Address - Fax:
Practice Address - Street 1:9716 NORTHERN BLVD
Practice Address - Street 2:1ST FL
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-1044
Practice Address - Country:US
Practice Address - Phone:718-426-4615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care