Provider Demographics
NPI:1497362875
Name:HEART OF GOLD HOME HEALTH INC
Entity Type:Organization
Organization Name:HEART OF GOLD HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-422-1012
Mailing Address - Street 1:528 SEVEN BRIDGE RD UNIT 133
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-7618
Mailing Address - Country:US
Mailing Address - Phone:570-422-1012
Mailing Address - Fax:570-422-0860
Practice Address - Street 1:528 SEVEN BRIDGE RD UNIT 133
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-7618
Practice Address - Country:US
Practice Address - Phone:570-422-1012
Practice Address - Fax:570-422-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health