Active NPI
Golden Heart Home Healthcare LLC
- Home Health Agency
- Springfield, MA
National Provider Identifier
1487105086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Jul 1, 2016 in MA
- Enrollment address
- 181 State St
Ste 2
Springfield, MA 01103-1734
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2195004 | Golden Heart Home Healthcare, LLC | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nurdin Z Mwanilelo | 5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 100% |
| Corporate Officer | Jul 1, 2016 | 100% | |
| Corporate Director | Jul 1, 2016 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.