Provider Demographics
NPI:1538171491
Name:GOLDEN HEARTS HOME CARE, LLC
Entity type:Organization
Organization Name:GOLDEN HEARTS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADM
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-489-2834
Mailing Address - Street 1:P O BOX 890
Mailing Address - Street 2:
Mailing Address - City:MALAKOFF
Mailing Address - State:TX
Mailing Address - Zip Code:75148
Mailing Address - Country:US
Mailing Address - Phone:903-489-2834
Mailing Address - Fax:903-489-1808
Practice Address - Street 1:9850 CR 1308
Practice Address - Street 2:
Practice Address - City:MALAKOFF
Practice Address - State:TX
Practice Address - Zip Code:75148
Practice Address - Country:US
Practice Address - Phone:903-489-2834
Practice Address - Fax:903-489-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health