Provider Demographics
NPI:1942745047
Name:GOLDEN HEARTS COMPANION & HOMEMAKER SERVICES
Entity Type:Organization
Organization Name:GOLDEN HEARTS COMPANION & HOMEMAKER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EVENS Q
Authorized Official - Middle Name:
Authorized Official - Last Name:SALNAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-749-1813
Mailing Address - Street 1:5039 NORTHERN LIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-5937
Mailing Address - Country:US
Mailing Address - Phone:561-749-1813
Mailing Address - Fax:
Practice Address - Street 1:5039 NORTHERN LIGHTS DR
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-5937
Practice Address - Country:US
Practice Address - Phone:561-749-1813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018492800Medicaid