MEDICARE: GOLDEN CARE THERAPY VIRGINIA 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1760166466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN CARE THERAPY VIRGINIA LLC

Provider Business Mailing Address
First Line	:	4770 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10470-1136
Country	:	US
Telephone Number	:	718-931-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6841 FOREST HILL AVE UNIT 208
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1603
Country	:	US
Telephone Number	:	804-315-2251
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	AKIVA TOPPER
Credential	:
Telephone Number	:	347-233-0975

Provider Enumeration Date	:	06/13/2023
Last Update Date	:	06/13/2023

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