Organization Active NPI

Golden Heart in Home Care, LLC

  • Home Health Agency
  • Saint Albans, WV
National Provider Identifier
1538385778
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN HEART IN HOME CARE, LLC
Practice address
510 4TH St
Saint Albans, WV 25177-2819
Phone
(304) 755-5144
Fax
(304) 201-0157
NPI assigned
Apr 17, 2007
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Shida Jamie
Title
Executive Director
Phone
(304) 610-6090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 10515330 WV
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

510 4TH St
Saint Albans, WV 25177-2819

Mailing address

510 4TH St
Saint Albans, WV 25177-2819
Phone (304) 755-5144

Other identifiers 1

IdentifierTypeStateIssuer
3810005952MedicaidWV

National Provider Directory

National Provider Directory

Locations

510 4th St
Saint Albans, WV 25177
Phone (304) 755-5144

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1538385778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 4TH ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772819",
            "telephone_number": "304-755-5144",
            "fax_number": "304-201-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 4TH ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772819",
            "telephone_number": "304-755-5144",
            "fax_number": "304-201-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART IN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "JAMIE",
        "authorized_official_first_name": "SHIDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-610-6090"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "10515330",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005952",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.