Healthcare Provider Details

I. General information

NPI: 1326982166
Provider Name (Legal Business Name): GOLDLEAF HOMECARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 MIDROCK CORS
MOUNTAIN VIEW CA
94043-2886
US

IV. Provider business mailing address

642 MIDROCK CORS
MOUNTAIN VIEW CA
94043-2886
US

V. Phone/Fax

Practice location:
  • Phone: 650-086-1822
  • Fax: 650-336-1063
Mailing address:
  • Phone: 650-086-1822
  • Fax: 650-336-1063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: GINA MARTINEZ
Title or Position: OWNER
Credential:
Phone: 650-861-8228