Healthcare Provider Details

I. General information

NPI: 1174430961
Provider Name (Legal Business Name): GOLDEN GENERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18846 CASA BLANCA LN
SARATOGA CA
95070-5223
US

IV. Provider business mailing address

3340 PINKERTON DR
SAN JOSE CA
95148-2753
US

V. Phone/Fax

Practice location:
  • Phone: 408-821-2630
  • Fax: 510-890-3099
Mailing address:
  • Phone: 408-821-2630
  • Fax: 510-890-3099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JUVELYN IRISH LADWIG
Title or Position: MANAGING MEMBERS
Credential: RN
Phone: 408-821-2630