Provider Demographics
NPI:1740328327
Name:GOLDEN HARMONY HOME HEALTH
Entity type:Organization
Organization Name:GOLDEN HARMONY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:303-388-1334
Mailing Address - Street 1:14707 E 2ND AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8908
Mailing Address - Country:US
Mailing Address - Phone:303-388-1334
Mailing Address - Fax:303-388-1403
Practice Address - Street 1:14707 E 2ND AVE STE 210
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8908
Practice Address - Country:US
Practice Address - Phone:303-388-1334
Practice Address - Fax:303-388-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO06909817251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06909817Medicaid