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General NPI Number Information
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NPI Number | 1194325639
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Entity Type | Organization
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Legal Business Name | GOLDENCARE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 14331 SW 120TH ST STE 205
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City | MIAMI
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State | FL
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Zip | 33186-7297
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Country | US
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Telephone | 786-558-5203
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Fax |
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Provider Business Mailing Address
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Address Line | 14331 SW 120TH ST STE 205
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City | MIAMI
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State | FL
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Zip | 33186-7297
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Country | US
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Telephone | 786-558-5203
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JENNY MILLARES
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Credential | RN
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Telephone | 786-558-5203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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