Provider Demographics
NPI:1578759650
Name:GOLDEN DREAMS HOMECARE, L.L.C.
Entity Type:Organization
Organization Name:GOLDEN DREAMS HOMECARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-386-6246
Mailing Address - Street 1:1311 PINEHILL RD
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1719
Mailing Address - Country:US
Mailing Address - Phone:563-386-6246
Mailing Address - Fax:563-355-2433
Practice Address - Street 1:1311 PINEHILL RD
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1719
Practice Address - Country:US
Practice Address - Phone:563-386-6246
Practice Address - Fax:563-355-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0434068Medicare PIN