Provider Demographics
NPI:1811256175
Name:GOLDEN HOME HEALTH CARE AGENCY, INC.
Entity type:Organization
Organization Name:GOLDEN HOME HEALTH CARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MA
Authorized Official - Phone:313-377-7929
Mailing Address - Street 1:154 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-2939
Mailing Address - Country:US
Mailing Address - Phone:734-697-0888
Mailing Address - Fax:734-697-1338
Practice Address - Street 1:154 SOUTH ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-2939
Practice Address - Country:US
Practice Address - Phone:734-697-0888
Practice Address - Fax:734-697-1338
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILIES FIRST HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health