Provider Demographics
NPI:1780129551
Name:SILVER AND GOLD HOME CARE
Entity type:Organization
Organization Name:SILVER AND GOLD HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-513-5779
Mailing Address - Street 1:100 HAZELCREST PL
Mailing Address - Street 2:APT. 605
Mailing Address - City:HAZEL PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48030-1388
Mailing Address - Country:US
Mailing Address - Phone:248-513-5779
Mailing Address - Fax:248-419-2134
Practice Address - Street 1:100 HAZELCREST PL
Practice Address - Street 2:APT. 605
Practice Address - City:HAZEL PARK
Practice Address - State:MI
Practice Address - Zip Code:48030-1388
Practice Address - Country:US
Practice Address - Phone:248-513-5779
Practice Address - Fax:248-419-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care