Healthcare Provider Details
I. General information
NPI: 1871400994
Provider Name (Legal Business Name): GOLDENCARE AT HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4844 N GREENWOOD AVE
NORRIDGE IL
60706-2930
US
IV. Provider business mailing address
4844 N GREENWOOD AVE
NORRIDGE IL
60706-2930
US
V. Phone/Fax
- Phone: 872-344-4444
- Fax:
- Phone: 872-344-4444
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MARIANA
HOTCA
Title or Position: OPERATION DIRECTOR
Credential:
Phone: 872-344-4444