Healthcare Provider Details

I. General information

NPI: 1891674669
Provider Name (Legal Business Name): GOLDEN HEARTS HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2472F HIGHWAY 49 S
FLORENCE MS
39073-8890
US

IV. Provider business mailing address

133 NORWOOD RD
FLORENCE MS
39073-9030
US

V. Phone/Fax

Practice location:
  • Phone: 601-319-8978
  • Fax:
Mailing address:
  • Phone: 601-319-8975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. LORIANN L. BASS
Title or Position: OWNER
Credential:
Phone: 601-319-8975