Provider Demographics
NPI:1487463113
Name:GOLDEN HEARTS HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:GOLDEN HEARTS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CANIESHA
Authorized Official - Middle Name:DESHE
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:948-220-9031
Mailing Address - Street 1:1008 BAY BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3177
Mailing Address - Country:US
Mailing Address - Phone:948-220-9031
Mailing Address - Fax:757-835-0177
Practice Address - Street 1:3405 TYRE NECK RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-3333
Practice Address - Country:US
Practice Address - Phone:948-220-9031
Practice Address - Fax:757-835-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health