Golden Community Care Adult Family Home, Llc

LBN: Golden Community Care Adult Family Home, Llc
Golden Community Care Adult Family Home, Llc is an health care organization with primary practice located at 12121 E Mission Ave Ste C , Spokane Valley WA 99206-4832. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Golden Community Care Adult Family Home, Llc can be contacted via phone (509) 443-3102, or through Guidi, Mahoulome Harold via phone (509) 280-7164.

Contact Information

Primary practice address
12121 E Mission Ave Ste C Spokane Valley WA 99206-4832
Phone: (509) 443-3102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guidi, Mahoulome Harold
Phone: (509) 280-7164

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1164055091
LBN Legal business name Golden Community Care Adult Family Home, Llc
DBA Doing business as
Authorized official Guidi, Mahoulome Harold
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2020
Last updated Feb 19th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164055091 NPPES
Washington MEDICAID 752707

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