Provider Demographics
NPI:1801814256
Name:GOLDEN HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:GOLDEN HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CFO
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:COLLADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-388-8166
Mailing Address - Street 1:3403 NW 82ND AVE
Mailing Address - Street 2:SUITE 104-E
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1068
Mailing Address - Country:US
Mailing Address - Phone:305-388-8166
Mailing Address - Fax:305-388-8212
Practice Address - Street 1:3403 NW 82ND AVE
Practice Address - Street 2:SUITE 104-E
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1068
Practice Address - Country:US
Practice Address - Phone:305-388-8166
Practice Address - Fax:305-388-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992409251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health