Healthcare Provider Details

I. General information

NPI: 1609588276
Provider Name (Legal Business Name): HEART OF GOLD AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W STATE ROAD 436 STE 2151
ALTAMONTE SPRINGS FL
32714-3056
US

IV. Provider business mailing address

801 W STATE ROAD 436 STE 2151
ALTAMONTE SPRINGS FL
32714-3056
US

V. Phone/Fax

Practice location:
  • Phone: 844-461-9200
  • Fax: 877-388-0348
Mailing address:
  • Phone: 844-461-9200
  • Fax: 877-388-0348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA N HARVEY
Title or Position: OWNER
Credential:
Phone: 407-461-9200