Healthcare Provider Details

I. General information

NPI: 1558656850
Provider Name (Legal Business Name): GOLDEN BAY HEALTH & STAFFING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 W CARSON ST #214
TORRANCE CA
90501-3935
US

IV. Provider business mailing address

1520 W CARSON ST #214
TORRANCE CA
90501-3935
US

V. Phone/Fax

Practice location:
  • Phone: 310-480-1683
  • Fax: 310-480-1683
Mailing address:
  • Phone: 310-480-1683
  • Fax: 310-480-1683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA GLENDA KUMAR
Title or Position: CEO
Credential:
Phone: 310-480-1683