Healthcare Provider Details

I. General information

NPI: 1609799758
Provider Name (Legal Business Name): GOLDEN HEART HOMEMAKER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3213 33RD ST SW
LEHIGH ACRES FL
33971
US

IV. Provider business mailing address

3213 33RD ST SW
LEHIGH ACRES FL
33971
US

V. Phone/Fax

Practice location:
  • Phone: 352-246-5346
  • Fax:
Mailing address:
  • Phone: 352-246-5346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: GREY TUR CASTILLO
Title or Position: OWNER
Credential:
Phone: 786-750-2643