Provider Demographics
NPI:1639791858
Name:GOLDEN HEART GROUP HOME CARE LLC
Entity Type:Organization
Organization Name:GOLDEN HEART GROUP HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CASTILLO
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:775-813-8116
Mailing Address - Street 1:3990 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5336
Mailing Address - Country:US
Mailing Address - Phone:775-453-2085
Mailing Address - Fax:775-453-2086
Practice Address - Street 1:3990 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5336
Practice Address - Country:US
Practice Address - Phone:775-453-2085
Practice Address - Fax:775-453-2086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities