Provider Demographics
NPI:1184429896
Name:GOLDEN HORIZONS HEALTHCARE LLC
Entity type:Organization
Organization Name:GOLDEN HORIZONS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-840-2171
Mailing Address - Street 1:18 REGENCY PLZ STE A
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1000
Mailing Address - Country:US
Mailing Address - Phone:516-840-2171
Mailing Address - Fax:
Practice Address - Street 1:18 REGENCY PLZ STE A
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1000
Practice Address - Country:US
Practice Address - Phone:516-840-2171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health