Organization Active NPI

Goldenheart Enterprises, LLC

  • In Home Supportive Care Agency
  • La Mesa, CA
National Provider Identifier
1679038368
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDENHEART ENTERPRISES, LLC
Doing business as
Visiting Angels La Mesa
Practice address
5500 Grossmont Center Dr Ste 201
La Mesa, CA 91942-3071
Phone
(619) 303-6555
Fax
(619) 303-8222
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Kevin Vakili
Title
Director
Phone
(619) 303-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5500 Grossmont Center Dr Ste 201
La Mesa, CA 91942-3071

Mailing address

5500 Grossmont Center Dr Ste 201
La Mesa, CA 91942-3071
Phone (619) 303-6555

Other practice location 1

7227 Broadway Ste 205
Lemon Grove, CA 91945-1504
Phone (619) 303-6555

Other names 1

  • Visiting Angels La Mesa Doing business as

National Provider Directory

National Provider Directory

Locations

5500 Grossmont Center Dr
Ste 201
La Mesa, CA 91942
Phone (619) 303-6555

7227 Broadway
Ste 205
Lemon Grove, CA 91945
Phone (619) 303-6555

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1679038368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 GROSSMONT CENTER DR STE 201",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423071",
            "telephone_number": "619-303-6555",
            "fax_number": "619-303-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GROSSMONT CENTER DR STE 201",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423071",
            "telephone_number": "619-303-6555",
            "fax_number": "619-303-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7227 Broadway Ste 205",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919451504",
            "country_code": "US",
            "telephone_number": "619-303-6555",
            "fax_number": "619-303-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDENHEART ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "VAKILI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-303-6555"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels La Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.