Organization Active NPI

Heart of Gold Support Services Inc

  • Pediatric Adolescent Medicine Physician
  • Pikesville, MD
National Provider Identifier
1336810712
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
HEART OF GOLD SUPPORT SERVICES INC
Practice address
115 Sudbrook LN Ste F
Pikesville, MD 21208-4184
Phone
(346) 400-8253
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Mr. Folaranmi Oluwasegun Oluwaloju
Title
Owner
Phone
(346) 400-8253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

115 Sudbrook LN Ste F
Pikesville, MD 21208-4184

Mailing address

115 Sudbrook LN Ste F
Pikesville, MD 21208-4184
Phone (346) 400-8253

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL heart_of_gold_inc@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

115 Sudbrook Ln
Ste F
Pikesville, MD 21208
Phone (346) 400-8253

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1336810712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUDBROOK LN STE F",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084184",
            "telephone_number": "346-400-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUDBROOK LN STE F",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084184",
            "telephone_number": "346-400-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOLD SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "OLUWALOJU",
        "authorized_official_first_name": "FOLARANMI",
        "authorized_official_middle_name": "OLUWASEGUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-400-8253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heart_of_gold_inc@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "heart_of_gold_inc@yahoo.com",
            "address_1": "115 Sudbrook Ln Ste F",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212084184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.