Healthcare Provider Details

I. General information

NPI: 1336057975
Provider Name (Legal Business Name): GOLDEN HEALTH AT HOME PERSONAL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9745 E HAMPTON AVE UNIT 1080
MESA AZ
85209-6287
US

IV. Provider business mailing address

9745 E HAMPTON AVE UNIT 1080
MESA AZ
85209-6287
US

V. Phone/Fax

Practice location:
  • Phone: 480-735-4860
  • Fax: 219-545-2297
Mailing address:
  • Phone: 480-735-4860
  • Fax: 219-545-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TANESHA MARNISE GILBERT
Title or Position: PARTNER
Credential:
Phone: 219-545-2297