| Organization Name: | HEARTS OF GOLD HOME HEALTH AGENCY, LLC |
| NPI Number: | 1710302534 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SYBIL JOHNSON (PRESIDENT/CEO) |
| Mailing Address: | 6314 Windsor Mill Rd Suite 307 Gwynn Oak |
| State: | MD US |
| Postal Code: | 212076075 |
| Phone Number: | 4102770215 |
| Fax Number: | 4102770215 |
| NPI Enumeration Date: | 03/03/2014 |
| NPI Last Update Date: | 03/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 130804 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |