Active NPI
Heart of Gold Senior Services, LLC
- In Home Supportive Care Agency
- Haines City, FL
National Provider Identifier
1760966725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HEART OF GOLD SENIOR SERVICES, LLC
- Practice address
- 1915 Bartley St
Haines City, FL 33844-2925 - Phone
- (863) 595-8927
- Fax
- (863) 877-2974
- NPI assigned
- Sep 17, 2018
- Last updated
- Jun 18, 2025
- 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
- Ms. Lisa Ann Wade
- Title
- Administrator/Owner
- Phone
- (863) 595-8927
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Companion | 372600000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
1915 Bartley St
Haines City, FL 33844-2925
Mailing address
1915 Bartley St
Haines City, FL 33844-2925
Phone (863) 595-8927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101313200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1920 Verano Dr
Ste 202
Haines City, FL 33844
Phone (863) 595-8927
1508 Lake Alfred Rd
Lake Alfred, FL 33850
199 Avenue B NW
Ste 280
Winter Haven, FL 33881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1760966725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 BARTLEY ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338442925",
"telephone_number": "863-595-8927",
"fax_number": "863-877-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 BARTLEY ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338442925",
"telephone_number": "863-595-8927",
"fax_number": "863-877-2974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART OF GOLD SENIOR SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-17",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "863-595-8927",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101313200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
- Healthstat Wellness-Polk Haines (Healthstat On-Site Clinic/Polk County)
- Heart of Florida Assisted Living BSLC LLC (Heart of Florida Assisted Living)
- Heart of Florida Cardiovascular Center, LLC
- Heart of Florida Care Inc. (Hampton Court)
- Heart of Florida Chiropractic, Inc. (Heart of Florida Chiropractic)
- Heartland Healthcare Inc.
- Heavenly Choice Adult Group Home
- Heavenly Choice Adult Home
- Phil Bert Heller, D.C.
- Helping Hand Medical Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.