Provider Demographics
NPI:1215760426
Name:GOLDEN HEART HOSPICE LLC
Entity type:Organization
Organization Name:GOLDEN HEART HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SWADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-326-2960
Mailing Address - Street 1:9320 SUN CITY BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-1708
Mailing Address - Country:US
Mailing Address - Phone:725-326-2960
Mailing Address - Fax:725-201-1089
Practice Address - Street 1:9320 SUN CITY BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-1708
Practice Address - Country:US
Practice Address - Phone:725-326-2960
Practice Address - Fax:725-201-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based