MEDICARE: GOLD HEALTH HOME CARE CORP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700876950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLD HEALTH HOME CARE CORP

Provider Business Mailing Address
First Line	:	2720 S RIVER RD STE 130
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-4110
Country	:	US
Telephone Number	:	224-470-6107
Fax Number	:	847-972-1808

Provider Business Practice Location Address
First Line	:	2720 S RIVER RD STE 130
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-4110
Country	:	US
Telephone Number	:	224-470-6107
Fax Number	:	847-972-1808

Authorized Official
Title or Position	:	AGENCY ADMINISTRATOR
Name	:	MELANIE SIMPLINA ONAL
Credential	:
Telephone Number	:	224-470-6107

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	10/02/2024

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Directions to “GOLD HEALTH HOME CARE CORP ” Practice Location

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