Provider Demographics
NPI:1609671940
Name:GOLDEN CONNECTIONS HOME CARE LLC
Entity type:Organization
Organization Name:GOLDEN CONNECTIONS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VASHTI
Authorized Official - Middle Name:JANAE
Authorized Official - Last Name:FULTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-237-4052
Mailing Address - Street 1:201 LOCHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-7037
Mailing Address - Country:US
Mailing Address - Phone:803-237-4052
Mailing Address - Fax:
Practice Address - Street 1:201 LOCHAVEN DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-7037
Practice Address - Country:US
Practice Address - Phone:803-237-4052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care