Organization Active NPI

Golden Coast Homecare

  • In Home Supportive Care Agency
  • Corona, CA
National Provider Identifier
1114728623
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN COAST HOMECARE
Practice address
1101 California Ave Ste 203
Corona, CA 92881-6473
Phone
(319) 210-9160
NPI assigned
Mar 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Craig Fett
Title
President
Phone
(319) 210-9160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1101 California Ave Ste 203
Corona, CA 92881-6473

Mailing address

427 18TH Ave Apt 2
San Francisco, CA 94121-3165
Phone (319) 210-9160

National Provider Directory

National Provider Directory

Locations

1101 California Ave
Ste 203
Corona, CA 92881
Phone (319) 210-9160

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1114728623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 18TH AVE APT 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213165",
            "telephone_number": "319-210-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816473",
            "telephone_number": "319-210-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN COAST HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "FETT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-210-9160"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.