Provider Demographics
NPI:1538663844
Name:GOLDENCARE HEALTH LLC
Entity Type:Organization
Organization Name:GOLDENCARE HEALTH LLC
Other - Org Name:GOLDENCARE HOME HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIDNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-372-9712
Mailing Address - Street 1:17129 NE 95TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3227
Mailing Address - Country:US
Mailing Address - Phone:206-372-9712
Mailing Address - Fax:
Practice Address - Street 1:17129 NE 95TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3227
Practice Address - Country:US
Practice Address - Phone:206-372-9712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60720687251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health