Healthcare Provider Details

I. General information

NPI: 1205779840
Provider Name (Legal Business Name): GOLDEN DAYSHOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 POWDERSBY RD
JOPPA MD
21085-5419
US

IV. Provider business mailing address

249 POWDERSBY RD
JOPPA MD
21085-5419
US

V. Phone/Fax

Practice location:
  • Phone: 410-679-0942
  • Fax: 410-679-0945
Mailing address:
  • Phone: 410-679-0942
  • Fax: 410-679-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH NDUNGU
Title or Position: OWNER/ADMINISTRATOR
Credential: BA/LPN
Phone: 443-655-4791