Provider Demographics
NPI:1740608041
Name:GOLDENCREST HEALTHCARE SYSTEMS LLC
Entity Type:Organization
Organization Name:GOLDENCREST HEALTHCARE SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:MURUGAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-828-5744
Mailing Address - Street 1:817 MERRIMACK ST
Mailing Address - Street 2:UNIT 6A
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-3548
Mailing Address - Country:US
Mailing Address - Phone:978-828-5744
Mailing Address - Fax:
Practice Address - Street 1:817 MERRIMACK ST
Practice Address - Street 2:SUITE 6A
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-3548
Practice Address - Country:US
Practice Address - Phone:978-828-5744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health