Provider Demographics
NPI:1700876950
Name:GOLD HEALTH HOME CARE CORP
Entity type:Organization
Organization Name:GOLD HEALTH HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:SIMPLINA
Authorized Official - Last Name:ONAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-470-6107
Mailing Address - Street 1:2720 S RIVER RD STE 130
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4110
Mailing Address - Country:US
Mailing Address - Phone:224-470-6107
Mailing Address - Fax:847-972-1808
Practice Address - Street 1:2720 S RIVER RD STE 130
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4110
Practice Address - Country:US
Practice Address - Phone:224-470-6107
Practice Address - Fax:847-972-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1011877Medicaid
147749Medicare ID - Type Unspecified