Provider Demographics
NPI:1598081903
Name:GOLDEN ANGEL HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:GOLDEN ANGEL HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:RICKALE
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:COKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-290-5186
Mailing Address - Street 1:138 SILVER ARROW CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-7490
Mailing Address - Country:US
Mailing Address - Phone:412-290-5186
Mailing Address - Fax:770-693-7971
Practice Address - Street 1:138 SILVER ARROW CIR
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168-7490
Practice Address - Country:US
Practice Address - Phone:412-290-5186
Practice Address - Fax:770-693-7971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2010#137111251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health