Provider Demographics
NPI:1992194617
Name:GOLDEN HEARTS HOME HEALTH
Entity type:Organization
Organization Name:GOLDEN HEARTS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOZUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-839-4410
Mailing Address - Street 1:7200 VINELAND AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-5077
Mailing Address - Country:US
Mailing Address - Phone:323-839-4410
Mailing Address - Fax:818-301-2339
Practice Address - Street 1:7200 VINELAND AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-5077
Practice Address - Country:US
Practice Address - Phone:323-839-4410
Practice Address - Fax:818-301-2339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health