# GOLDEN HOME SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194099812
- **Authorized official:** MR. TIMOTHY RAY (OWNER)
- **Authorized official phone:** (678) 242-0084

## Contact information

- **Practice address:** 11205 ALPHARETTA HWY, SUITE D-2, ROSWELL, GA 30076-5610
- **Practice address phone:** (678) 242-0084
- **Practice address fax:** (678) 242-0048
- **Mailing address:** 11205 ALPHARETTA HWY, SUITE D-2, ROSWELL, GA 30076-5610
- **Mailing address phone:** (678) 242-0084
- **Mailing address fax:** (678) 242-0048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 060R0123 | GA | Yes |

## Other

- **Enumeration date:** 02/27/2012
- **Last updated:** 02/27/2012