Provider Demographics
NPI:1821448416
Name:GOLDEN CARE ALLIANCE LLC
Entity Type:Organization
Organization Name:GOLDEN CARE ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-361-3995
Mailing Address - Street 1:1451 MULLANPHY ST.
Mailing Address - Street 2:SUITE 113
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63106-3114
Mailing Address - Country:US
Mailing Address - Phone:314-361-3995
Mailing Address - Fax:888-504-9013
Practice Address - Street 1:1451 MULLANPHY ST.
Practice Address - Street 2:SUITE 113
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-3114
Practice Address - Country:US
Practice Address - Phone:314-361-3995
Practice Address - Fax:888-504-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health