Organization Active NPI

Goldenheart Investment

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1104624105
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDENHEART INVESTMENT
Practice address
3819 Lyndale Ave N # 1
Minneapolis, MN 55412-2166
Phone
(612) 231-6664
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Latonya Talice Jackson
Title
Owner/Manager
Phone
(612) 807-5631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3819 Lyndale Ave N # 1
Minneapolis, MN 55412-2166

Mailing address

3819 Lyndale Ave N # 1
Minneapolis, MN 55412-2166
Phone (612) 231-6664

Other names 1

  • Goldenheart Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1104624105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 LYNDALE AVE N # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122166",
            "telephone_number": "612-231-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 LYNDALE AVE N # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122166",
            "telephone_number": "612-231-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENHEART INVESTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_middle_name": "TALICE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-807-5631"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldenheart Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.