Healthcare Provider Details

I. General information

NPI: 1083534614
Provider Name (Legal Business Name): HEART OF GOLD COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 BROOKVIEW DR
TOLEDO OH
43615-7504
US

IV. Provider business mailing address

5834 MONROE ST STE A
SYLVANIA OH
43560-2265
US

V. Phone/Fax

Practice location:
  • Phone: 419-407-6606
  • Fax:
Mailing address:
  • Phone: 419-407-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DANNIELLE HAYNES
Title or Position: OWNER
Credential: STNA
Phone: 419-407-6606