Organization · NPI-2

Goldicare INC

In Home Supportive Care · San Antonio, TX

NPI number1023605359

StatusActive

Last updated in NPPESNov 1, 2024

Details

NPI: 1023605359
Entity type: Organization (NPI-2)
Legal business name: Goldicare INC
Organization subpart: No
Enumeration date: Dec 21, 2020
Certification date: Nov 1, 2024
Last updated: Nov 1, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
101Y00000X	Counselor	–	–
163W00000X	Registered Nurse	–	–
164W00000X	Licensed Practical Nurse	–	–
164X00000X	Licensed Vocational Nurse	–	–
225100000X	Physical Therapist	–	–
225X00000X	Occupational Therapist	–	–
235Z00000X	Speech-Language Pathologist,	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
251E00000X	Home Health	–	–
253J00000X	Foster Care Agency	–	–
3104A0625X	Assisted Living Facility, Assisted Living, Mental Illness	–	–
320700000X	Residential Treatment Facility, Physical Disabilities	–	–
363L00000X	Nurse Practitioner	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–

Other names

Goldicare Medical (Doing Business As)
Goldicare (Other Name)

Practice location

13606 Ironhill Trce
San Antonio, TX 78245-4051

Phone 210-744-0899 · Fax 210-851-8336

Mailing address

13606 Ironhill Trce
San Antonio, TX 78245-4051

Phone 210-744-0899 · Fax 210-851-8336

Authorized official

Joyce Kennedy
Ceo, Administrator, Rn, NP
2107440899

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