Golden Haven Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IL1010301 Issued in IL

Legal business name

GOLDEN HAVEN CARE, INC.

Practice address

6525 North Ave
Suite # 207
Oak Park, IL 60302-1033

Phone

(708) 358-1267

Fax

(708) 358-1240

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Rosaelma Villafranca, R.N.

Title

Administrator

Phone

(708) 358-1267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147768

Legal name

GOLDEN HAVEN CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 30, 2004

Last certification

Oct 12, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 17, 2003 in IL

Enrollment address

6525 North Ave
Ste 107
Oak Park, IL 60302-1035

Listed as

Golden Haven Care, IncCCN 147768

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Apr 30, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin Anthony Sebuc Adalin, RN

  • Home Health Registered Nurse
  • Oak Park, IL
  • NPI 1760232656
  NPD

Affiliated clinicians 1

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

• Alejandro Rarang, M.D.

  • General Practice Physician
  • Chicago, IL
  • NPI 1063534121

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1497739163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 NORTH AVE",
            "address_2": "SUITE # 207",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021033",
            "telephone_number": "708-358-1267",
            "fax_number": "708-358-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 NORTH AVE",
            "address_2": "SUITE # 207",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021033",
            "telephone_number": "708-358-1267",
            "fax_number": "708-358-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HAVEN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "VILLAFRANCA",
        "authorized_official_first_name": "ROSAELMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-358-1267",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1010301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayda Lea Goerlich
• Meagan Rae Goes, DNP, APRN, AGPCNP-BC
• Amy Goldbeck-Jozefczyk, MA, LPC, DMT-R
• Katherine N Goldberg, LCPC
• Krystyna Goldberg, MSPT
• Sarah Goldenberg
• Zoe Goldman, OTR/L
• Cass Goldner, PT
• Abby Gomez de la Casa, LCSW
• Paola Gomez Velazquez

• Home Health Agency in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.