Organization Active NPI

Heart of Gold Developmental and Disabilities Health Care Services,Inc

  • Nursing Care Agency
  • Columbus, GA
National Provider Identifier
1194442921
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
HEART OF GOLD DEVELOPMENTAL AND DISABILITIES HEALTH CARE SERVICES,INC
Practice address
717 Palmetto Ave
Columbus, GA 31906-4025
Phone
(706) 505-1116
Fax
(706) 505-1116
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Lavada Portier, LPN
Title
Owner
Phone
(706) 577-1687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

717 Palmetto Ave
Columbus, GA 31906-4025

Mailing address

9145 Garrett Lake Dr
Midland, GA 31820-4391
Phone (706) 577-1687

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1194442921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 GARRETT LAKE DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204391",
            "telephone_number": "706-577-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PALMETTO AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319064025",
            "telephone_number": "706-505-1116",
            "fax_number": "706-505-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOLD DEVELOPMENTAL AND DISABILITIES HEALTH CARE SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-22",
        "status": "A",
        "authorized_official_last_name": "PORTIER",
        "authorized_official_first_name": "LAVADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-577-1687",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "413 Henson Ave",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319075523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.