Provider Demographics
NPI:1609524107
Name:HEARTS OF GOLD HOMEHEALTH CARE LLC
Entity Type:Organization
Organization Name:HEARTS OF GOLD HOMEHEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-534-0346
Mailing Address - Street 1:210 W STONE AVE STE LR4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-5493
Mailing Address - Country:US
Mailing Address - Phone:864-438-4602
Mailing Address - Fax:864-438-4602
Practice Address - Street 1:210 W STONE AVE STE LR4
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-5493
Practice Address - Country:US
Practice Address - Phone:864-438-4602
Practice Address - Fax:864-438-4602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care