Golden Hearts Lifestyle LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

GOLDEN HEARTS LIFESTYLE LLC

Practice address

16304 Mendota Ave
Maple Heights, OH 44137-4818

Phone

(216) 355-0007

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Kinosha Spencer

Title

Owner

Phone

(216) 355-0007

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1225801616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16304 MENDOTA AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374818",
            "telephone_number": "216-355-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16304 MENDOTA AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374818",
            "telephone_number": "216-355-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEARTS LIFESTYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "KINOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-355-0007"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Health & Wellness Coach in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.