Provider Demographics
NPI:1477080224
Name:GOLDEN HEART CARE, LLC
Entity Type:Organization
Organization Name:GOLDEN HEART CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-778-2652
Mailing Address - Street 1:603 J CLYDE MORRIS BLVD # J
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1826
Mailing Address - Country:US
Mailing Address - Phone:757-595-2500
Mailing Address - Fax:757-595-2513
Practice Address - Street 1:603 J CLYDE MORRIS BLVD # J
Practice Address - Street 2:SUITE 6
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1826
Practice Address - Country:US
Practice Address - Phone:757-595-2500
Practice Address - Fax:757-595-2513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA037878-2017374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty