Provider Demographics
NPI:1407333289
Name:HEARTS OF GOLD LLC
Entity Type:Organization
Organization Name:HEARTS OF GOLD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAMMELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-565-8365
Mailing Address - Street 1:1819 MINNEFORD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-3311
Mailing Address - Country:US
Mailing Address - Phone:314-565-8365
Mailing Address - Fax:636-486-2152
Practice Address - Street 1:1819 MINNEFORD DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-3311
Practice Address - Country:US
Practice Address - Phone:314-565-8365
Practice Address - Fax:636-486-2152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care