Active NPI
Heart of Gold Developmental and Disabilities Health Care Services,Inc
- Nursing Care Agency
- Columbus, GA
National Provider Identifier
1194442921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop |
National Provider Directory
National Provider DirectoryNPI 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.