Healthcare Provider Details

I. General information

NPI: 1184556219
Provider Name (Legal Business Name): GOLDEN ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 VINE ST
CINCINNATI OH
45202-8005
US

IV. Provider business mailing address

1435 VINE ST
CINCINNATI OH
45202-8005
US

V. Phone/Fax

Practice location:
  • Phone: 513-904-2382
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SHELDON E MAYER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 513-904-2382