Heart of Gold Senior Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

233063 Issued in FL

Legal business name

HEART OF GOLD SENIOR SERVICES

Practice address

209 Fern Rd
Winter Haven, FL 33880-1308

Phone

(863) 595-8927

Fax

(863) 229-5360

NPI assigned

Jan 8, 2014

Organization subpart

No

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

Authorized official

Name

Lisa Ann Wade

Title

Owner/Administrator

Phone

(863) 595-8927

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1114349263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FERN RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801308",
            "telephone_number": "863-595-8927",
            "fax_number": "863-229-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FERN RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801308",
            "telephone_number": "863-595-8927",
            "fax_number": "863-229-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOLD SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "863-595-8927"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "233063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009269700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Holdings Company LLC
• Health Medical Ultra Limited Liability Company
• Douglas Healy
• Hearing Consultants
• Claude A Hearn, DMD, P.A.
• Heartland Community Church, Inc.
• Heartland Surgical Assistants, Inc
• Thomas W Hegland, O.D.
• Helpful Hearts Care Solutions LLC
• Cassandra Hemby, APRN

• Home Health Agency in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.