Provider Demographics
NPI:1639625940
Name:GOLDEN CARE SERVICES
Entity Type:Organization
Organization Name:GOLDEN CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ASSISTED LIVING ADMINISTRA
Authorized Official - Prefix:
Authorized Official - First Name:YANOVA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MITCHENER
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:757-768-6046
Mailing Address - Street 1:532 SETTLERS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4031
Mailing Address - Country:US
Mailing Address - Phone:757-768-6046
Mailing Address - Fax:866-648-4493
Practice Address - Street 1:532 SETTLERS LANDING RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4031
Practice Address - Country:US
Practice Address - Phone:757-768-6046
Practice Address - Fax:866-648-4493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-27
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1104458310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility