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NPI Code Detail

MEDICARE: GOLDEN HAVEN SERVICES INC

MEDICARE: GOLDEN HAVEN SERVICES INC
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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1992158117
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN HAVEN SERVICES INC
Provider Business Mailing Address
First Line : 9119 S GESSNER RD STE 125
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2874
Country : US
Telephone Number : 832-744-0566
Fax Number : 832-365-6072
Provider Business Practice Location Address
First Line : 9119 S GESSNER RD STE 125
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2874
Country : US
Telephone Number : 832-744-0566
Fax Number : 832-365-6072
Authorized Official
Title or Position : DIRECTOR
Name : MR. PASCHAL EJERENWA
Credential : MSC
Telephone Number : 832-744-0566
Provider Enumeration Date : 07/22/2016
Last Update Date : 08/25/2025

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Directions to “GOLDEN HAVEN SERVICES INC ” Practice Location

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