Provider Demographics
NPI:1922397181
Name:GOLDEN RULE HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:GOLDEN RULE HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-650-7020
Mailing Address - Street 1:2918 PROFESSIONAL PKWY
Mailing Address - Street 2:SUITE 212
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-3593
Mailing Address - Country:US
Mailing Address - Phone:707-650-7020
Mailing Address - Fax:
Practice Address - Street 1:2918 PROFESSIONAL PKWY
Practice Address - Street 2:SUITE 212
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-3593
Practice Address - Country:US
Practice Address - Phone:706-650-7020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA121-R-0625253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care