Provider Demographics
NPI:1770453565
Name:THE GOLD HOME
Entity type:Organization
Organization Name:THE GOLD HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIUT
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:916-532-1252
Mailing Address - Street 1:6029 DAHBOY WAY
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4449
Mailing Address - Country:US
Mailing Address - Phone:916-532-1252
Mailing Address - Fax:916-307-5197
Practice Address - Street 1:6029 DAHBOY WAY
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4449
Practice Address - Country:US
Practice Address - Phone:916-532-1252
Practice Address - Fax:916-307-5197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty