Healthcare Provider Details

I. General information

NPI: 1033056791
Provider Name (Legal Business Name): GOLDEN HEART ADULT CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

553 CLARK ST
N FORT MYERS FL
33903-3311
US

IV. Provider business mailing address

553 CLARK ST
N FORT MYERS FL
33903-3311
US

V. Phone/Fax

Practice location:
  • Phone: 239-244-5359
  • Fax: 239-244-5359
Mailing address:
  • Phone: 239-244-5359
  • Fax: 239-244-5359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GAUDIE SIERRA
Title or Position: OWNER/ADMINISTRATOR OFFICER
Credential: SIERRA
Phone: 239-244-5359