Active NPI
Golden Heart Care
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1972123446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GOLDEN HEART CARE
- Practice address
- 7250 N 23Rd Ave
Phoenix, AZ 85021-7715 - Phone
- (623) 377-8983
- Fax
- (623) 476-5646
- NPI assigned
- Apr 24, 2020
- 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
- Carlos Villicana
- Title
- President
- Phone
- (623) 606-1907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7250 N 23Rd Ave
Phoenix, AZ 85021-7715
Mailing address
21620 N 19TH Ave Ste A6
Phoenix, AZ 85027-2716
Phone (623) 606-1907
National Provider Directory
National Provider Directory- Tax ID family
- Golden Heart Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1649722000
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1972253102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1972123446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21620 N 19TH AVE STE A6",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272716",
"telephone_number": "623-606-1907",
"fax_number": "623-248-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 N 23RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850217715",
"telephone_number": "623-377-8983",
"fax_number": "623-476-5646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN HEART CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-24",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "VILLICANA",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-606-1907"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.