Provider Demographics
NPI:1013808013
Name:GOLDEN HOME CARE LLC
Entity type:Organization
Organization Name:GOLDEN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:SHEPANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-963-1436
Mailing Address - Street 1:11050 PIONEER TRL STE 208
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-0267
Mailing Address - Country:US
Mailing Address - Phone:530-201-4927
Mailing Address - Fax:530-201-4928
Practice Address - Street 1:11050 PIONEER TRL STE 208
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0267
Practice Address - Country:US
Practice Address - Phone:530-201-4927
Practice Address - Fax:503-201-4928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care