NPIMap

Organization Active NPI

Golden Heart Care

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1972253102
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOLDEN HEART CARE
Practice address
4208 W Hatcher Rd
Phoenix, AZ 85051-3249
Phone
(623) 248-1162
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Carlos Villicana
Title
President/Owner
Phone
(623) 248-1162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4208 W Hatcher Rd
Phoenix, AZ 85051-3249

Mailing address

21620 N 19TH Ave Ste A6
Phoenix, AZ 85027-2716
Phone (623) 606-1907

Other names 1

  • Golden Heart Care LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Heart Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1972253102",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 W HATCHER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513249",
            "telephone_number": "623-248-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "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/OWNER",
        "authorized_official_telephone_number": "623-248-1162"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Heart Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Heart Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.