MEDICARE: THE GOLDEN MOMENTS CARE HOME, 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1598613663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GOLDEN MOMENTS CARE HOME, INC

Provider Business Mailing Address
First Line	:	9247 N WINERY AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-4464
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9247 N WINERY AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-4464
Country	:	US
Telephone Number	:	559-797-4319
Fax Number	:	559-275-1327

Authorized Official
Title or Position	:	CEO
Name	:	MARLENE GALVEZ
Credential	:
Telephone Number	:	559-250-1527

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “THE GOLDEN MOMENTS CARE HOME, INC ” Practice Location

Language	Start Address	Practice Location

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