MEDICARE: GOLDEN CARE EMS, 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	3416L0300X	Land Ambulance	1000468	TX

General Provider Information

NPI Number	:	1215257274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN CARE EMS, INC.

Provider Business Mailing Address
First Line	:	10590 WESTOFFICE DR
Second Line	:	#110
City	:	HOUSTON
State	:	TX
Zip	:	77042-5332
Country	:	US
Telephone Number	:	713-952-8500
Fax Number	:	713-572-8253

Provider Business Practice Location Address
First Line	:	10590 WESTOFFICE DR
Second Line	:	#110
City	:	HOUSTON
State	:	TX
Zip	:	77042-5332
Country	:	US
Telephone Number	:	713-952-8500
Fax Number	:	713-572-8253

Authorized Official
Title or Position	:	CEO
Name	:	MR. GIRMAY G TINSAYE
Credential	:
Telephone Number	:	713-952-8500

Provider Enumeration Date	:	06/01/2010
Last Update Date	:	08/23/2010

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