1780539189 NPI number — GOLDA HOME CARE MULTISERVICE LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780539189 NPI number — GOLDA HOME CARE MULTISERVICE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GOLDA HOME CARE MULTISERVICE LLC
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:
1780539189
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1408 N KILLIAN DR STE 210B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33403-1961
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-817-4068
Provider Business Mailing Address Fax Number:
561-634-2868

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 NW 52ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33142-8024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-817-4068
Provider Business Practice Location Address Fax Number:
561-634-2868
Provider Enumeration Date:
03/02/2026

Additional Information

Authorized Official

Authorized Official Last Name:
MUSELAIRE
Authorized Official First Name:
GOLDA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
561-817-4068

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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