Provider Demographics
NPI:1851783724
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:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:I
Authorized Official - Last Name:PIRRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-283-4439
Mailing Address - Street 1:3223 W DESERT COVE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4211
Mailing Address - Country:US
Mailing Address - Phone:602-283-4439
Mailing Address - Fax:602-283-4439
Practice Address - Street 1:3223 W DESERT COVE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4211
Practice Address - Country:US
Practice Address - Phone:602-283-4439
Practice Address - Fax:602-283-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care