Heart of Gold Group Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HEART OF GOLD GROUP HOME LLC

Practice address

2904 Trimmier Rd Ste B17
Killeen, TX 76542-6038

Phone

(254) 245-9076

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Donnetta Bills

Title

Director

Phone

(254) 245-9076

Specialties & licenses 1

Addresses

Other names 1

• Heart OF Gold Adult Daycare LLC Other name

Locations

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1780459982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 TRIMMIER RD STE B16",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426038",
            "telephone_number": "254-245-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 TRIMMIER RD STE B17",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426038",
            "telephone_number": "254-245-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOLD GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "DONNETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "254-245-9076"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart OF Gold Adult Daycare LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Killeen, TX
• Providers in Killeen, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.