Golden Wings Hospice LLC.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOLDEN WINGS HOSPICE LLC.

Practice address

423 E Palmdale Blvd Ste D-3
Palmdale, CA 93550-4549

Phone

(661) 206-3336

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Bernadette Tagulao

Title

Secretary/LVN

Phone

(213) 254-7261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1568135408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 COMMERCE AVE STE G",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E PALMDALE BLVD STE D-3",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504549",
            "telephone_number": "661-206-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN WINGS HOSPICE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "TAGULAO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "SECRETARY/LVN",
        "authorized_official_telephone_number": "213-254-7261"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sandy Michelle Gomez Blunt, REGISTERED NURSE
• Ana Victoria Gomez
• Araceli Gomez
• Denise Gomez
• Kaylee Gomez

• Community Based Hospice Care Agency in Palmdale, CA
• Providers in Palmdale, 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 Jul 30, 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.