Provider Demographics
NPI:1003357666
Name:GOLDEN HEART STAFFING INC.
Entity Type:Organization
Organization Name:GOLDEN HEART STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SALAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSHAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-340-0000
Mailing Address - Street 1:520 N BROOKHURST ST
Mailing Address - Street 2:STE 232
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5227
Mailing Address - Country:US
Mailing Address - Phone:866-507-8233
Mailing Address - Fax:714-689-7000
Practice Address - Street 1:520 N BROOKHURST ST
Practice Address - Street 2:STE 232
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5227
Practice Address - Country:US
Practice Address - Phone:866-507-8233
Practice Address - Fax:714-689-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care