Provider Demographics
NPI:1528575644
Name:GOLDA LLC
Entity Type:Organization
Organization Name:GOLDA LLC
Other - Org Name:GOLDA CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMEBER
Authorized Official - Prefix:
Authorized Official - First Name:PROKHOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GALDABARANOVSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-501-6013
Mailing Address - Street 1:5868 WESTHEIMER RD
Mailing Address - Street 2:# 336
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057
Mailing Address - Country:US
Mailing Address - Phone:713-501-6013
Mailing Address - Fax:
Practice Address - Street 1:2700 POST OAK BLVD FL 21
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5797
Practice Address - Country:US
Practice Address - Phone:713-501-6013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health