MEDICARE: GOLDEN HOME CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1053002790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN HOME CARE INC

Provider Business Mailing Address
First Line	:	10 BEAUMONT AVE
Second Line	:
City	:	CHICOPEE
State	:	MA
Zip	:	01013-1010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 BEAUMONT AVE
Second Line	:
City	:	CHICOPEE
State	:	MA
Zip	:	01013-1010
Country	:	US
Telephone Number	:	413-427-6383
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE COLON
Credential	:
Telephone Number	:	413-427-6383

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/15/2023

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Directions to “GOLDEN HOME CARE INC ” Practice Location

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