Healthcare Provider Details

I. General information

NPI: 1326389107
Provider Name (Legal Business Name): GOLDEN YEARS HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 03/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2665 N CEMETERY RD
CASS CITY MI
48726-9365
US

IV. Provider business mailing address

2665 N CEMETERY RD
CASS CITY MI
48726-9365
US

V. Phone/Fax

Practice location:
  • Phone: 407-715-8445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: MRS. RHONDA HILL
Title or Position: PRESIDENT
Credential:
Phone: 407-715-8445