Provider Demographics
NPI:1952818981
Name:GOLDEN HEARTS HOME CARE SERVICES
Entity Type:Organization
Organization Name:GOLDEN HEARTS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-528-3891
Mailing Address - Street 1:609 PARKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-1481
Mailing Address - Country:US
Mailing Address - Phone:763-528-3891
Mailing Address - Fax:
Practice Address - Street 1:609 PARKVIEW CT
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303
Practice Address - Country:US
Practice Address - Phone:763-528-3891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-29
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN384543251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health