NPIMap

Organization Active NPI

Golden Heart Caregivers LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1073945457
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
13-013270-1 Issued in IN
Legal business name
GOLDEN HEART CAREGIVERS LLC
Practice address
7770 Michigan Rd
Suite: D
Indianapolis, IN 46268-2375
Phone
(317) 871-2600
Fax
(317) 871-2714
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Eboni Harrison
Title
President/Owner
Phone
(317) 871-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 13-013270-1 IN Primary

Addresses

Primary practice location

7770 Michigan Rd
Suite: D
Indianapolis, IN 46268-2375

Mailing address

7770 Michigan Rd
Suite: D
Indianapolis, IN 46268-2375
Phone (317) 871-2600

Other identifiers 1

IdentifierTypeStateIssuer
201170870 AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1073945457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 MICHIGAN RD",
            "address_2": "SUITE: D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682375",
            "telephone_number": "317-871-2600",
            "fax_number": "317-871-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 MICHIGAN RD",
            "address_2": "SUITE: D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682375",
            "telephone_number": "317-871-2600",
            "fax_number": "317-871-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "EBONI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-871-2600"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "13-013270-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201170870 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.