Organization Active NPI

Heart of Gold Homecare, LLC

  • In Home Supportive Care Agency
  • Cinnaminson, NJ
National Provider Identifier
1053895698
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART OF GOLD HOMECARE, LLC
Practice address
101 Route 130 S Ste 6
Cinnaminson, NJ 08077-2843
Phone
(856) 389-5637
Fax
(856) 861-1429
NPI assigned
Sep 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Latasha S Butler, RN
Title
Director of Operations
Phone
(856) 389-5637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

101 Route 130 S Ste 6
Cinnaminson, NJ 08077-2843

Mailing address

101 Route 130 S Ste 6
Cinnaminson, NJ 08077-2843
Phone (856) 389-5637

National Provider Directory

National Provider Directory

Locations

101 Route 130 S
Ste 6
Cinnaminson, NJ 08077
Phone (856) 389-5637

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1053895698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S STE 6",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772843",
            "telephone_number": "856-389-5637",
            "fax_number": "856-861-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S STE 6",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772843",
            "telephone_number": "856-389-5637",
            "fax_number": "856-861-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOLD HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "856-389-5637",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.