MEDICARE: GOLDEN HEART HOMECARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1558105148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN HEART HOMECARE SERVICES

Provider Business Mailing Address
First Line	:	5517 ACORN WOODS CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-6182
Country	:	US
Telephone Number	:	317-748-7957
Fax Number	:

Provider Business Practice Location Address
First Line	:	5517 ACORN WOODS CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-6182
Country	:	US
Telephone Number	:	317-748-7957
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RASHIDAT G ADELEYE
Credential	:
Telephone Number	:	317-748-7957

Provider Enumeration Date	:	06/19/2024
Last Update Date	:	06/19/2024

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Directions to “GOLDEN HEART HOMECARE SERVICES ” Practice Location

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