Provider Demographics
NPI:1528688439
Name:GOLDEN HEARTS LLC
Entity type:Organization
Organization Name:GOLDEN HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIGIDA
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCASA
Authorized Official - Phone:252-916-7318
Mailing Address - Street 1:PO BOX 1423
Mailing Address - Street 2:
Mailing Address - City:ROBERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27871-1423
Mailing Address - Country:US
Mailing Address - Phone:252-916-7318
Mailing Address - Fax:
Practice Address - Street 1:325 CLIFTON ST RM 4
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5003
Practice Address - Country:US
Practice Address - Phone:919-307-7751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care