Healthcare Provider Details

I. General information

NPI: 1902895972
Provider Name (Legal Business Name): GOLDEN CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6120 VINELAND AVE
NORTH HOLLYWOOD CA
91606-4914
US

IV. Provider business mailing address

6120 VINELAND AVE
NORTH HOLLYWOOD CA
91606-4914
US

V. Phone/Fax

Practice location:
  • Phone: 818-763-6275
  • Fax: 818-763-7635
Mailing address:
  • Phone: 818-763-6275
  • Fax: 818-763-7635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. GONZALO A DEL ROSARIO
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 818-763-6275