Healthcare Provider Details

I. General information

NPI: 1184429896
Provider Name (Legal Business Name): GOLDEN HORIZONS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 REGENCY PLZ STE A
GLEN MILLS PA
19342-1000
US

IV. Provider business mailing address

18 REGENCY PLZ STE A
GLEN MILLS PA
19342-1000
US

V. Phone/Fax

Practice location:
  • Phone: 516-840-2171
  • Fax:
Mailing address:
  • Phone: 516-840-2171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. ROBERTO BLANKS
Title or Position: OWNER
Credential:
Phone: 516-840-2171