Healthcare Provider Details

I. General information

NPI: 1861033375
Provider Name (Legal Business Name): GOLDEN BIRD HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2019
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

464 N ROGERS AVE # 101
CLOVIS CA
93611-0330
US

IV. Provider business mailing address

464 N ROGERS AVE # 101
CLOVIS CA
93611-0330
US

V. Phone/Fax

Practice location:
  • Phone: 559-900-2777
  • Fax: 559-712-8777
Mailing address:
  • Phone: 559-900-2777
  • Fax: 559-712-8777

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: ANNA GEVORKYAN
Title or Position: CEO
Credential: RPH
Phone: 559-900-2777