Provider Demographics
NPI:1164083291
Name:HEART O' GOLD HOME CARE, LLC
Entity Type:Organization
Organization Name:HEART O' GOLD HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUHELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-546-7107
Mailing Address - Street 1:2912 WHIPPLE AVE NW UNIT 8
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-1534
Mailing Address - Country:US
Mailing Address - Phone:330-546-7107
Mailing Address - Fax:
Practice Address - Street 1:2912 WHIPPLE AVE NW UNIT 8
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-1534
Practice Address - Country:US
Practice Address - Phone:330-546-7107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health