Golla Home

LBN: Golla Home
Golla Home is an health care organization with primary practice located at 670 Washoe Dr , Carson City NV 89704-9528. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Golla Home can be contacted via phone (775) 849-3165, or through Golla, Jean via phone (775) 849-3165.

Contact Information

Primary practice address
670 Washoe Dr Carson City NV 89704-9528
Phone: (775) 849-3165
Fax: (775) 849-9425
Website:
Map and Directions
Authorized official contact:
Name: Golla, Jean
Phone: (775) 849-3165

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X GF467210 Nevada
Agencies / Community/Behavioral Health 251S00000X 467210 Nevada

Profile Details

NPI number 1932357852
LBN Legal business name Golla Home
DBA Doing business as
Authorized official Golla, Jean
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2008
Last updated Sep 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932357852 NPPES
Nevada MEDICAID 100508066
Nevada MEDICAID 100508065

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