Provider Demographics
NPI:1518293760
Name:GOLD & SILVER AGING HOME CARE INC
Entity Type:Organization
Organization Name:GOLD & SILVER AGING HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:LEONORA
Authorized Official - Middle Name:
Authorized Official - Last Name:HECTOR-SIDIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-685-5750
Mailing Address - Street 1:287 EAST 55
Mailing Address - Street 2:
Mailing Address - City:BROKKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-498-0955
Mailing Address - Fax:
Practice Address - Street 1:316 5TH AVE
Practice Address - Street 2:PENTHHOUSE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3602
Practice Address - Country:US
Practice Address - Phone:212-686-5750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229905251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health