Provider Demographics
NPI:1942960588
Name:GOLDEN YEARS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:GOLDEN YEARS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:SAYNAB
Authorized Official - Middle Name:MOHAMUD
Authorized Official - Last Name:GANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-432-9391
Mailing Address - Street 1:5960 CARSON MICHAEL AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4421
Mailing Address - Country:US
Mailing Address - Phone:614-432-9391
Mailing Address - Fax:
Practice Address - Street 1:5960 CARSON MICHAEL AVE APT 202
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-4421
Practice Address - Country:US
Practice Address - Phone:614-432-9391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health