Golden Grand Home Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOLDEN GRAND HOME CARE LLC

Practice address

18036 Duncan Cir
Farmington, MN 55024-7244

Phone

(651) 333-9504

Fax

(651) 344-8392

NPI assigned

Dec 30, 2015

Last updated

Feb 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shewit K Ghebrezghi

Title

Owner

Phone

(651) 442-0622

Specialties & licenses 1

Addresses

Tax ID family

Golden Grand Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Golden Grand Home Care LLC

  • Home Health Agency
  • Farmington, MN
  • NPI 1760859474
  NPD tax ID

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612569600000",
    "number": "1194180505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18036 DUNCAN CIR",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247244",
            "telephone_number": "651-333-9504",
            "fax_number": "651-344-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18036 DUNCAN CIR",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247244",
            "telephone_number": "651-333-9504",
            "fax_number": "651-344-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GRAND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A",
        "authorized_official_last_name": "GHEBREZGHI",
        "authorized_official_first_name": "SHEWIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-442-0622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hani Abdel Hamid Hamdan, DDS, MS

• Skilled Nursing Facility in Farmington, MN
• Providers in Farmington, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; 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.