1992303838 NPI number — GOLDING HOME CARE

Table of content: (NPI 1992303838)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992303838 NPI number — GOLDING HOME CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GOLDING HOME CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992303838
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
325 CHESTNUT ST STE 800
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19106-2608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
267-336-4808
Provider Business Mailing Address Fax Number:
215-533-3679

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 CHESTNUT STREET SUITE 800
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADEPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-739-4058
Provider Business Practice Location Address Fax Number:
215-533-3679
Provider Enumeration Date:
10/13/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GLADDEN
Authorized Official First Name:
KAREEMA
Authorized Official Middle Name:
SHANELL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
267-336-4808

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 81283 . This is a "HOME CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".