MEDICARE: GOLDEN SEED ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1104779354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN SEED ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	3162 FOREST GROVE TRL NW
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-6687
Country	:	US
Telephone Number	:	423-432-2391
Fax Number	:

Provider Business Practice Location Address
First Line	:	3162 FOREST GROVE TRL NW
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-6687
Country	:	US
Telephone Number	:	423-432-2391
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RASHIDA HENDLEY
Credential	:	RN
Telephone Number	:	423-432-2391

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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