Provider Demographics
NPI:1013804830
Name:GOLDEN HEART HOME CARE SERVICES OF NC
Entity type:Organization
Organization Name:GOLDEN HEART HOME CARE SERVICES OF NC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ODHIAMBO
Authorized Official - Last Name:OUMA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:919-637-2440
Mailing Address - Street 1:262 CHERRY BARK LOOP
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-9522
Mailing Address - Country:US
Mailing Address - Phone:919-637-2440
Mailing Address - Fax:
Practice Address - Street 1:262 CHERRY BARK LOOP
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-9522
Practice Address - Country:US
Practice Address - Phone:919-637-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health