Provider Demographics
NPI:1588044028
Name:GOLDEN WAY CARE, INC
Entity Type:Organization
Organization Name:GOLDEN WAY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RESCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-234-6348
Mailing Address - Street 1:2825 E DUTCH AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-3837
Mailing Address - Country:US
Mailing Address - Phone:714-234-6348
Mailing Address - Fax:
Practice Address - Street 1:2825 E DUTCH AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-3837
Practice Address - Country:US
Practice Address - Phone:714-234-6348
Practice Address - Fax:855-632-5813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306004543310400000X
CA366423728310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility