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General NPI Number Information
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NPI Number | 1487463113
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Entity Type | Organization
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Legal Business Name | GOLDEN HEARTS HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3405 TYRE NECK RD
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3333
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Country | US
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Telephone | 948-220-9031
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Fax | 757-835-0177
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Provider Business Mailing Address
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Address Line | 3405 TYRE NECK RD STE 1
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3333
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Country | US
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Telephone | 757-536-5321
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Fax | 757-835-0177
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CANIESHA DESHE HORNE
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Credential |
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Telephone | 948-220-9031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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