Provider Demographics
NPI:1891840039
Name:GOLD CASTLE INC.
Entity Type:Organization
Organization Name:GOLD CASTLE INC.
Other - Org Name:EASY LIFE HOME HEALTH CARE CTR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILA
Authorized Official - Middle Name:
Authorized Official - Last Name:GASS
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:323-666-0949
Mailing Address - Street 1:5230 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-4909
Mailing Address - Country:US
Mailing Address - Phone:323-666-0949
Mailing Address - Fax:323-666-9317
Practice Address - Street 1:5230 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-4909
Practice Address - Country:US
Practice Address - Phone:323-666-0949
Practice Address - Fax:323-666-9317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHMDR 101754332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1170180001Medicare ID - Type Unspecified