# GOLDEN STAR HOME HEALTH CARE 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:** 1295064913
- **Authorized official:** MR. ANTONIO CARREON L.P.N. (SECRETARY)
- **Authorized official phone:** (847) 470-9271

## Contact information

- **Practice address:** 7627 N MILWAUKEE AVE, REAR, NILES, IL 60714-3132
- **Practice address phone:** (847) 470-9271
- **Practice address fax:** (847) 470-9275
- **Mailing address:** 7627 N MILWAUKEE AVE, REAR, NILES, IL 60714-3132
- **Mailing address phone:** (847) 470-9271
- **Mailing address fax:** (847) 470-9275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1011087 | IL | Yes |

## Other

- **Enumeration date:** 12/08/2009
- **Last updated:** 12/08/2009