Organization Active NPI

Golden Heart Home Healthcare LLC

  • Home Health Agency
  • Springfield, MA
National Provider Identifier
1487105086
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN HEART HOME HEALTHCARE LLC
Practice address
181 State St Ste 2
Springfield, MA 01103-1734
Phone
(413) 301-8561
Fax
(413) 342-4283
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mr. Nurdin Z Mwanilelo
Title
Owner
Phone
(413) 301-8561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

181 State St Ste 2
Springfield, MA 01103-1734

Mailing address

181 State St Ste 2
Springfield, MA 01103-1734
Phone (413) 301-8561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124001319 MA Part A Provider - Home Health Agency 3870904808 Practice locations: Springfield, MA

Home health agency certification: CCN 227816

Legal name
GOLDEN HEART HOME HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 4, 2026
Last certification
Feb 13, 2026
Organization structure
LLCProprietary
Incorporated
Jul 1, 2016 in MA
Enrollment address
181 State St
Ste 2
Springfield, MA 01103-1734
HHA Branch

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2195004Golden Heart Home Healthcare, LLC181 State St, Springfield, MA 01103Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

181 State St
Ste 2
Springfield, MA 01103
Phone (413) 301-8561

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nurdin Z Mwanilelo Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Jul 1, 2016 100%
Corporate OfficerPresident/Ceo Jul 1, 2016 100%
Corporate DirectorPresident/Ceo Jul 1, 2016 100%
W-2 Managing EmployeePresident/Ceo Jul 1, 2016 100%

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1487105086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 STATE ST STE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031734",
            "telephone_number": "413-301-8561",
            "fax_number": "413-342-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 STATE ST STE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031734",
            "telephone_number": "413-301-8561",
            "fax_number": "413-342-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "MWANILELO",
        "authorized_official_first_name": "NURDIN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-301-8561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.