A Heart of Gold Homecare Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

A HEART OF GOLD HOMECARE AGENCY LLC

Practice address

205 Fairfax Dr
Salisbury, NC 28146-7209

Phone

(980) 275-3964

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Billy R ElderNPI 1417646225

Title

Owner/Administrator

Phone

(980) 275-3964

Specialties & licenses 1

Addresses

Practitioners 1

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

• Billy Ray Elder

  • In Home Supportive Care Agency
  • Salisbury, NC
  • NPI 1417646225
  NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1831960459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FAIRFAX DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281467209",
            "telephone_number": "980-275-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FAIRFAX DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281467209",
            "telephone_number": "980-275-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEART OF GOLD HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "980-275-3964"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.