MEDICARE: SUNZ GOLDEN HEARTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1134067861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNZ GOLDEN HEARTS LLC

Provider Business Mailing Address
First Line	:	1421 GOODALE AVE LOWR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 GOODALE AVE LOWR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4235
Country	:	US
Telephone Number	:	567-202-7808
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUNZARAE JOHNSON
Credential	:
Telephone Number	:	567-202-7808

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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