Provider Demographics
NPI:1891868923
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:OWNER - ADM
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-489-2834
Mailing Address - Street 1:9850 CR 1308
Mailing Address - Street 2:P O BOX 12
Mailing Address - City:MALAKOFF
Mailing Address - State:TX
Mailing Address - Zip Code:75148
Mailing Address - Country:US
Mailing Address - Phone:903-489-2834
Mailing Address - Fax:
Practice Address - Street 1:9850 CR 1308
Practice Address - Street 2:
Practice Address - City:MALAKOFF
Practice Address - State:TX
Practice Address - Zip Code:75148
Practice Address - Country:US
Practice Address - Phone:903-489-2834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health