Provider Demographics
NPI:1679044101
Name:HEART OF GOLD HOME CARE LLC
Entity Type:Organization
Organization Name:HEART OF GOLD HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIKA
Authorized Official - Middle Name:E
Authorized Official - Last Name:DURUEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-868-9869
Mailing Address - Street 1:18146 E WEAVER AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1125
Mailing Address - Country:US
Mailing Address - Phone:303-868-9859
Mailing Address - Fax:
Practice Address - Street 1:5476 S TIBET ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6515
Practice Address - Country:US
Practice Address - Phone:303-868-9869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health