Provider Demographics
NPI:1972887347
Name:GOLDEN MEADOWS HOSPICE, INC
Entity Type:Organization
Organization Name:GOLDEN MEADOWS HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CABILDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-771-3182
Mailing Address - Street 1:210 S IRWINDALE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-3213
Mailing Address - Country:US
Mailing Address - Phone:626-771-3182
Mailing Address - Fax:
Practice Address - Street 1:210 S IRWINDALE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-3213
Practice Address - Country:US
Practice Address - Phone:626-771-3182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based