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General NPI Number Information
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NPI Number | 1033988787
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Entity Type | Organization
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Legal Business Name | HEARTS OF GOLD HOMECARE LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 12/21/2023
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 9617 GLEN OWEN DR
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City | SAINT LOUIS
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State | MO
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Zip | 63136-3005
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Country | US
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Telephone | 314-359-7134
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Fax | 314-279-1952
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Provider Business Mailing Address
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Address Line | 11628 OLD BALLAS RD STE 226
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City | CREVE COEUR
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State | MO
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Zip | 63141-7030
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Country | US
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Telephone | 314-359-7134
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Fax | 314-279-1952
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Authorized Official
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Title or Position | OWENER/MANGER
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Name | TIFFANY MONNETTE JONES
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Credential |
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Telephone | 314-359-7134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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