Golden State Home Health, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

550001972 Issued in CA

Legal business name

GOLDEN STATE HOME HEALTH, LLC

Practice address

22527 Main St Ste 206
Hayward, CA 94541-4134

Phone

(510) 606-9902

Fax

(510) 454-8520

NPI assigned

Aug 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roman Ramiscal Dannug, PH.D IN MANAGEMENT

Title

Chief Finance Officer

Phone

(510) 925-5543

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1063993673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22527 MAIN ST STE 206",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414134",
            "telephone_number": "510-606-9902",
            "fax_number": "510-454-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22527 MAIN ST STE 206",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414134",
            "telephone_number": "510-606-9902",
            "fax_number": "510-454-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "DANNUG",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "RAMISCAL",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "510-925-5543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D IN MANAGEMENT"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "550001972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073881819",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy Godinez-Romero
• Mala Shea Godinez
• Martin Goldberg, MD
• Golden Life Home Health LLC
• Golden Oak Montessori of Hayward
• Golden State Orthopedics & Spine
• Daniel Goldin
• Stanley Goldsmith, MD
• Jose Gomez Castillo
• Alejandra Gomez Cruz

• Home Health Registered Nurse in Hayward, CA
• Providers in Hayward, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.