Provider Demographics
NPI:1538726948
Name:GOLDEN HEART GROUP HOME CARE LLC
Entity type:Organization
Organization Name:GOLDEN HEART GROUP HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:775-813-8116
Mailing Address - Street 1:3413 ALPLAND LN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-6715
Mailing Address - Country:US
Mailing Address - Phone:775-626-2909
Mailing Address - Fax:775-357-9023
Practice Address - Street 1:3413 ALPLAND LN
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-6715
Practice Address - Country:US
Practice Address - Phone:775-626-2909
Practice Address - Fax:775-357-9023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities