Organization Active NPI

Golden Heart Healthcare LLC

  • Home Health Agency
  • Tucker, GA
National Provider Identifier
1700401221
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN HEART HEALTHCARE LLC
Practice address
2088 Idlewood Rd Ste 5
Tucker, GA 30084-6264
Phone
(612) 516-6567
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Yussuf JamaaNPI 1932644929
Title
Owner
Phone
(612) 516-6567

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2088 Idlewood Rd Ste 5
Tucker, GA 30084-6264

Mailing address

2088 Idlewood Rd Ste 5
Tucker, GA 30084-6264
Phone (612) 516-6567

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
11D2189748Golden Heart Healthcare LLC2088 Idlewood Rd Ste 5, Tucker, GA 30084Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

2088 Idlewood Rd
Ste 5
Tucker, GA 30084
Phone (612) 516-6567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1700401221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 IDLEWOOD RD STE 5",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846264",
            "telephone_number": "612-516-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 IDLEWOOD RD STE 5",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846264",
            "telephone_number": "612-516-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "JAMAA",
        "authorized_official_first_name": "YUSSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-516-6567"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.