Provider Demographics
NPI:1679222111
Name:GOLDEN HEARTS HOME CARE LLC
Entity Type:Organization
Organization Name:GOLDEN HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAIYOHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-375-2502
Mailing Address - Street 1:11701 W 60TH PL
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-2623
Mailing Address - Country:US
Mailing Address - Phone:913-375-2502
Mailing Address - Fax:
Practice Address - Street 1:11701 W 60TH PL
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-2623
Practice Address - Country:US
Practice Address - Phone:913-375-2502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility