=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982033353
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GOLDEN MEADOWS HOSPICE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2013
-----------------------------------------------------
Last Update Date | 05/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 837 W CHRISTOPHER ST STE B
-----------------------------------------------------
City | WEST COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91790-3761
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-888-7055
-----------------------------------------------------
Fax | 626-888-7065
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 837 W CHRISTOPHER ST STE B
-----------------------------------------------------
City | WEST COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91790-3761
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-888-7055
-----------------------------------------------------
Fax | 626-888-7065
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | NORMITA SIERRA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 626-757-8241
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------