MEDICARE: GOLDSILK HEALTHCARE INCORPORATION

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	372500000X	Chore Provider

General Provider Information

NPI Number	:	1831030766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDSILK HEALTHCARE INCORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 720715
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77272-0715
Country	:	US
Telephone Number	:	409-499-3796
Fax Number	:	409-499-3796

Provider Business Practice Location Address
First Line	:	2840 SHADOWBRIAR DR APT 616
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3278
Country	:	US
Telephone Number	:	409-499-3796
Fax Number	:	409-499-3796

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. BABAJIDE OMOTAYO
Credential	:
Telephone Number	:	409-499-3796

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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