Golden State Home Health Care & Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOLDEN STATE HOME HEALTH CARE & HOSPICE INC.

Practice address

324 E 11TH St
H2 & H3
Tracy, CA 95376-4071

Phone

(209) 830-1311

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Iqbal Nasseem Khan

Title

President

Phone

(209) 832-2224

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1518250976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E 11TH ST",
            "address_2": "H2-H3",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764071",
            "telephone_number": "209-832-2224",
            "fax_number": "209-832-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E 11TH ST",
            "address_2": "H2 & H3",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764071",
            "telephone_number": "209-830-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE HOME HEALTH CARE & HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_middle_name": "NASSEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-832-2224"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Tracy, CA
• Providers in Tracy, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.