Provider Demographics
NPI:1871337808
Name:GOLDEN AGED HOMECARE
Entity type:Organization
Organization Name:GOLDEN AGED HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-944-3499
Mailing Address - Street 1:324 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2028
Mailing Address - Country:US
Mailing Address - Phone:860-335-5299
Mailing Address - Fax:860-308-2578
Practice Address - Street 1:324 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2028
Practice Address - Country:US
Practice Address - Phone:860-335-5299
Practice Address - Fax:860-308-2578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty