Healthcare Provider Details

I. General information

NPI: 1578439030
Provider Name (Legal Business Name): GOLDEN AGE HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 HERITAGE LOOP
LEWIS CENTER OH
43035-9765
US

IV. Provider business mailing address

385 HERITAGE LOOP
LEWIS CENTER OH
43035-9765
US

V. Phone/Fax

Practice location:
  • Phone: 614-787-9846
  • Fax:
Mailing address:
  • Phone: 614-787-9846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHAMUD ABDI YUSUF
Title or Position: OWNER
Credential:
Phone: 614-787-9846