GOLDEN CARE SUPPORTED LIVING (NPI# 1316410764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316410764 |
| Entity Type | Organization |
| Organization Name | GOLDEN CARE SUPPORTED LIVING |
| Practice Address |
5530 99th St Apt 3k Corona NY 11368-3735 |
| Practice Telephone | 3475796274 |
| Mailing Telephone | 3475796274 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | MR. MOHAMED FOFANAH (PRESIDENT) |
| Authorized Official Telephone | 6149291931 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
5530 99TH ST APT 3K |
| City | CORONA |
| State | NY |
| Zip Code | 11368-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534419 | Infusion Partners 360 Consulting Group, LLC | Home Health | 4254 Green River Rd, Corona, CA 92878-3869 | 2020-09-30 |
| 1356869895 | Tetra Pharmaceutical Inc | Home Health | 1611 Pomona Rd Ste 211, Corona, CA 92880-6924 | 2017-09-05 |
| 1871045575 | Above All Homehealth Care Services Inc. | Home Health | 98-15 Horace Harding Express Way, Suite 4k, Corona, NY 11368 | 2016-10-28 |
| 1558725663 | First Choice Home Health Agency | Home Health | 1426 W 6th St Ste 202, Corona, CA 92882-3037 | 2016-04-06 |
| 1558738203 | Helpful Hands Home Health Care LLC | Home Health | 2569 Dakin Dr, Corona, CA 92882-6195 | 2015-08-28 |
| 1215338454 | Fairhaven Home Healthcare LLC | Home Health | 2831 Morning Star Dr, Corona, CA 92881-8634 | 2014-09-08 |
| 1437581691 | Prime Motion Healthcare | Home Health | 1240 E Ontario Ave, Suite 102-326, Corona, CA 92881-8671 | 2013-07-30 |
| 1275897217 | Airway Therapeutic Management, Inc | Home Health | 509 N Smith Ave Ste 105, Corona, CA 92880-6902 | 2012-06-25 |
| 1437417631 | Avia Home Health Services Inc. | Home Health | 1307 W 6th St Ste 119b, Corona, CA 92882-1642 | 2012-04-25 |
| 1003199357 | Founding Fathers Health Care, Inc. | Home Health | 1307 West Sixth Street, Suite 205, Corona, CA 92882-8247 | 2011-09-23 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.