NPIMap

Organization Active NPI

Golden Heart Hospice Care, LLC

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Forest Park, GA
National Provider Identifier
1275147605
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
Legal business name
GOLDEN HEART HOSPICE CARE, LLC
Practice address
4940 Governors Dr Ste 209
Forest Park, GA 30297-2186
Phone
(770) 277-1290
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Rose L RomulusNPI 1770909236
Title
Owner
Phone
(678) 977-6919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PH0002X Primary

Addresses

Primary practice location

4940 Governors Dr Ste 209
Forest Park, GA 30297-2186

Mailing address

4940 Governors Dr Ste 209
Forest Park, GA 30297-2186

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Rromulusfnp@gmail.com Direct
Other URL Rromulusfnp@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1275147605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 GOVERNORS DR STE 209",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 GOVERNORS DR STE 209",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972186",
            "telephone_number": "770-277-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "ROMULUS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-977-6919"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rromulusfnp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4940 Governors Dr Ste 209",
            "city": "Forest Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302972186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rromulusfnp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Health info exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4940 Governors Dr Ste 209",
            "city": "Forest Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302972186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.