Organization Active NPI

Heart of Gold, LLC

  • In Home Supportive Care Agency
  • East Stroudsburg, PA
National Provider Identifier
1801427612
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART OF GOLD, LLC
Practice address
528 Seven Bridge Rd Unit 239
East Stroudsburg, PA 18301-7618
Phone
(570) 422-1012
Fax
(570) 422-0860
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Mr. David AnneseNPI 1023453735
Title
Executive Director
Phone
(570) 422-1012

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

528 Seven Bridge Rd Unit 239
East Stroudsburg, PA 18301-7618

Mailing address

528 Seven Bridge Rd Unit 239
East Stroudsburg, PA 18301-7618
Phone (570) 422-1012

National Provider Directory

National Provider Directory

Locations

528 Seven Bridge Rd
Unit 239
East Stroudsburg, PA 18301
Phone (570) 422-1012

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": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1801427612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 SEVEN BRIDGE RD UNIT 239",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017618",
            "telephone_number": "570-422-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 SEVEN BRIDGE RD UNIT 239",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017618",
            "telephone_number": "570-422-1012",
            "fax_number": "570-422-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOLD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "ANNESE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-422-1012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

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