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General NPI Number Information
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NPI Number | 1992275184
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Entity Type | Organization
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Legal Business Name | GOLDEN HOME CARE L.L.C.
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 3530 E FLAMINGO RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89121-5091
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Country | US
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Telephone | 702-462-2660
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Fax | 775-571-0502
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Provider Business Mailing Address
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Address Line | 3530 E FLAMINGO RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89121-5091
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Country | US
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Telephone | 702-462-2660
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Fax | 775-571-0502
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. NILDEE FERNANDEZ
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Credential | RN
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Telephone | 786-879-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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