Healthcare Provider Details

I. General information

NPI: 1578085999
Provider Name (Legal Business Name): GOLDEN HOME CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33116 PALMER RD STE B
WESTLAND MI
48186-5526
US

IV. Provider business mailing address

33116 PALMER RD STE B
WESTLAND MI
48186-5526
US

V. Phone/Fax

Practice location:
  • Phone: 734-422-6340
  • Fax: 734-422-6341
Mailing address:
  • Phone: 734-422-6340
  • Fax: 734-422-6341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VIVEK CHAVAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 734-422-6340