Provider Demographics
NPI:1992204242
Name:FAMILY IS GOLDEN SENIOR CARE,LLC
Entity Type:Organization
Organization Name:FAMILY IS GOLDEN SENIOR CARE,LLC
Other - Org Name:FAMILY IS GOLDEN SENIOR CARE,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNNY-BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-435-8729
Mailing Address - Street 1:5548 KAREN ELAINE DR APT 1422
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4161
Mailing Address - Country:US
Mailing Address - Phone:240-435-8729
Mailing Address - Fax:
Practice Address - Street 1:5548 KAREN ELAINE DR APT 1422
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-4161
Practice Address - Country:US
Practice Address - Phone:240-435-8729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care