Provider Demographics
NPI:1043767684
Name:HEART OF GOLD HOME CARE
Entity Type:Organization
Organization Name:HEART OF GOLD HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:BELYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANT
Authorized Official - Suffix:I
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:203-360-0381
Mailing Address - Street 1:592 NORMAN STREET
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-1132
Mailing Address - Country:US
Mailing Address - Phone:203-360-0381
Mailing Address - Fax:
Practice Address - Street 1:592 NORMAN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605-1132
Practice Address - Country:US
Practice Address - Phone:203-360-0381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA-0001155253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care