Goldencare Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOLDENCARE HOME HEALTH SERVICES, INC.

Doing business as

Golden Health at Home

Practice address

14331 SW 120TH St Ste 205
Miami, FL 33186-7297

Phone

(786) 558-5203

NPI assigned

Oct 26, 2020

Last updated

Sep 28, 2023By 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

Ms. Jenny Millares, RN

Title

President

Phone

(786) 558-5203

Specialties & licenses 2

Addresses

Other names 1

• GOLDEN HEALTH AT HOME Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194325639. Details of each certification follow.

• CCN 687145 Home health agency · Active · Details

Home health agency certification: CCN 687145

Legal name

GOLDENCARE HOME HEALTH SERVICES, INC.

Doing business as

GOLDEN HEALTH AT HOME

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 13, 2021

Last certification

Dec 9, 2021

Organization structure

CorporationProprietary

Incorporated

Jul 22, 2020 in FL

Enrollment address

13701 SW 88TH St
Ste 307
Miami, FL 33186-1309

Listed as

Golden Health at HomeCCN 687145 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Dec 13, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Golden Health at Home2 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.

• Goldencare Home Health Services, Inc.

  dba Golden Health at Home

  • In Home Supportive Care Agency
  • Miami, FL
  • NPI 1144931858
  NPD tax ID

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ibelis Calvi, APRN

  • Nurse Practitioner
  • Miami, FL
  • NPI 1659975142

  Home health agency

  Care Compare affiliation
• Lester Manuel De Leon, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1912135419

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1194325639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14331 SW 120TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867297",
            "telephone_number": "786-558-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14331 SW 120TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867297",
            "telephone_number": "786-558-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENCARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "MILLARES",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-558-5203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN HEALTH AT HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Paul Goldenberg, PA-C
• Jean Goldenberg, MA CCC SLP
• Vanessa Katya Goldenberg
• Goldencare Home Health Agency, Inc.
• Goldencare Home Health Services, Inc. (Golden Health at Home)
• Goldenpath Transportation LLC
• Goldenway Pharmacy Discount
• Brian Evan Goldhagen
• Raquel Goldhardt, M.D.
• Deana S Goldin, ARNP

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.