Provider Demographics
NPI:1558783662
Name:GOLDEN PROMISES HOME CARE LLC
Entity Type:Organization
Organization Name:GOLDEN PROMISES HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-294-1104
Mailing Address - Street 1:36 ST JOHN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-1541
Mailing Address - Country:US
Mailing Address - Phone:845-294-1104
Mailing Address - Fax:845-294-9759
Practice Address - Street 1:36 ST JOHN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1541
Practice Address - Country:US
Practice Address - Phone:845-294-1104
Practice Address - Fax:845-294-9759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health