Provider Demographics
NPI:1144962325
Name:GOLDEN HEART HEALTHCARE LLC
Entity type:Organization
Organization Name:GOLDEN HEART HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDDIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:III
Authorized Official - Credentials:LPN
Authorized Official - Phone:239-315-3320
Mailing Address - Street 1:12859 BRYNWOOD PRESERVE LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-4802
Mailing Address - Country:US
Mailing Address - Phone:239-276-2412
Mailing Address - Fax:
Practice Address - Street 1:12859 BRYNWOOD PRESERVE LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-4802
Practice Address - Country:US
Practice Address - Phone:239-276-2412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care