Healthcare Provider Details

I. General information

NPI: 1467841981
Provider Name (Legal Business Name): GOLDEN HEARTS CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 S SPOKANE ST
SEATTLE WA
98134-2245
US

IV. Provider business mailing address

60 S SPOKANE ST
SEATTLE WA
98134-2245
US

V. Phone/Fax

Practice location:
  • Phone: 206-535-2445
  • Fax: 206-535-2445
Mailing address:
  • Phone: 206-535-2445
  • Fax: 206-535-2445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberIHS.FS.60359982
License Number StateWA

VIII. Authorized Official

Name: MS. ZAKIYA ROBINSON
Title or Position: OWNER
Credential:
Phone: 206-535-2445