Provider Demographics
NPI:1710728738
Name:GOLDEN HOME CARE LLC
Entity type:Organization
Organization Name:GOLDEN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANOSLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EUGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-282-1083
Mailing Address - Street 1:1931 DRUM DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4802
Mailing Address - Country:US
Mailing Address - Phone:863-613-6173
Mailing Address - Fax:
Practice Address - Street 1:10 LAKE HAMILTON BLVD STE 3
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-9285
Practice Address - Country:US
Practice Address - Phone:863-282-1083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health