Provider Demographics
NPI:1821674433
Name:HEART OF GOLD ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:HEART OF GOLD ADULT DAY CARE LLC
Other - Org Name:HEART OF GOLD ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-203-8832
Mailing Address - Street 1:2904 TRIMMIER RD # B16
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-6038
Mailing Address - Country:US
Mailing Address - Phone:254-833-1926
Mailing Address - Fax:
Practice Address - Street 1:2904 TRIMMIER RD # B16
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-6038
Practice Address - Country:US
Practice Address - Phone:254-203-8832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Single Specialty
No225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training ProviderGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No282N00000XHospitalsGeneral Acute Care Hospital
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty
No347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty
No347E00000XTransportation ServicesTransportation BrokerGroup - Single Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute CareGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care