Provider Demographics
NPI:1205256252
Name:GOLDEN HEARTS' COMPANION & HOMEMAKER SERVICE, LLC
Entity type:Organization
Organization Name:GOLDEN HEARTS' COMPANION & HOMEMAKER SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EVENS
Authorized Official - Middle Name:
Authorized Official - Last Name:SALNAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-860-2145
Mailing Address - Street 1:5756 EDDY CT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6753
Mailing Address - Country:US
Mailing Address - Phone:561-860-2145
Mailing Address - Fax:
Practice Address - Street 1:5756 EDDY CT
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463
Practice Address - Country:US
Practice Address - Phone:561-860-2145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232901251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health