Provider Demographics
NPI:1518641406
Name:HEART OF GOLD HOMECARE LLC.
Entity Type:Organization
Organization Name:HEART OF GOLD HOMECARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-550-9937
Mailing Address - Street 1:919 TRUE ST STE E-3
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-1662
Mailing Address - Country:US
Mailing Address - Phone:803-550-9937
Mailing Address - Fax:803-550-9937
Practice Address - Street 1:919 TRUE ST STE E-3
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1662
Practice Address - Country:US
Practice Address - Phone:803-550-9937
Practice Address - Fax:803-550-9937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health