Provider Demographics
NPI:1770121469
Name:GOODHEART NURSING CARE LLC
Entity type:Organization
Organization Name:GOODHEART NURSING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORONKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-478-5334
Mailing Address - Street 1:4990 PISGAH MARBURY RD
Mailing Address - Street 2:
Mailing Address - City:MARBURY
Mailing Address - State:MD
Mailing Address - Zip Code:20658-2315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4990 PISGAH MARBURY RD
Practice Address - Street 2:
Practice Address - City:MARBURY
Practice Address - State:MD
Practice Address - Zip Code:20658-2315
Practice Address - Country:US
Practice Address - Phone:240-478-5337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies