Provider Demographics
NPI:1841170453
Name:GOLDEN HOMECARE & MEDICAL SERVICES INC
Entity type:Organization
Organization Name:GOLDEN HOMECARE & MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:EZENWA
Authorized Official - Last Name:AMUZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-852-3784
Mailing Address - Street 1:4854 OLD NATIONAL HWY STE 120
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337-6225
Mailing Address - Country:US
Mailing Address - Phone:678-852-3784
Mailing Address - Fax:
Practice Address - Street 1:4854 OLD NATIONAL HWY STE 120
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-6225
Practice Address - Country:US
Practice Address - Phone:678-852-3784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies