Hearst of Gold Advanced Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEARST OF GOLD ADVANCED CARE, LLC

Practice address

8013 Hollis St
Philadelphia, PA 19150-3510

Phone

(267) 259-1583

Fax

(215) 844-2936

NPI assigned

May 4, 2024

Organization subpart

No

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

Authorized official

Name

Monique Chick

Title

Director of Clinical

Phone

(267) 259-1583

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1902653181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8013 HOLLIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503510",
            "telephone_number": "267-259-1583",
            "fax_number": "215-844-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARST OF GOLD ADVANCED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "CHICK",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL",
        "authorized_official_telephone_number": "267-259-1583"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.