Organization Active NPI

Heart of Gold in Home Health Service, LLC

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1396030623
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART OF GOLD IN HOME HEALTH SERVICE, LLC
Practice address
50 Black Jack CT
Florissant, MO 63033-7101
Phone
(314) 653-0500
Fax
(314) 653-0545
NPI assigned
Jun 15, 2011
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Mrs. Sharise Williams, RNNPI 1316275571
Title
Director
Phone
(314) 495-1854

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

50 Black Jack CT
Florissant, MO 63033-7101

Mailing address

50 Black Jack CT
Florissant, MO 63033-7101
Phone (314) 653-0500

National Provider Directory

National Provider Directory

Locations

50 Black Jack Ct
Black Jack, MO 63033
Phone (314) 653-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1396030623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BLACK JACK CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337101",
            "telephone_number": "314-653-0500",
            "fax_number": "314-653-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BLACK JACK CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337101",
            "telephone_number": "314-653-0500",
            "fax_number": "314-653-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOLD IN HOME HEALTH SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHARISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-495-1854",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.