Organization
GOLDENCARE HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BRACERAS CAMPO (PRESIDENT/ ADMIN.)
(305) 863-8860
Entity
Organization
Contact information
Practice address
780 NW 42ND AVE STE 300, MIAMI, FL 33126-5536
(305) 553-2553
(305) 553-5321
Mailing address
780 NW 42ND AVE STE 300, MIAMI, FL 33126-5536
(305) 553-2553
(305) 553-5321
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22015096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651052300
—
FL
01
—
688049500
MEDICAID WAIVER
FL
Enumeration date
05/31/2007
Last updated
04/03/2024
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