Provider Demographics
NPI:1619766748
Name:GOLDEN ACE LLC
Entity type:Organization
Organization Name:GOLDEN ACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SVITLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLIMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-736-5277
Mailing Address - Street 1:3127 JENKINTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-1310
Mailing Address - Country:US
Mailing Address - Phone:267-736-5277
Mailing Address - Fax:
Practice Address - Street 1:2337 PHILMONT AVE
Practice Address - Street 2:UNIT 202 SUITE 4
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6241
Practice Address - Country:US
Practice Address - Phone:267-736-5277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104458291-0001Medicaid