MEDICARE: GOLDEN HEART CARE COMPANY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1194605493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN HEART CARE COMPANY LLC

Provider Business Mailing Address
First Line	:	331 WHITE ST E STE 200
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-5331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 WHITE ST E STE 200
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-5331
Country	:	US
Telephone Number	:	803-322-6410
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIA STINSON
Credential	:	OD
Telephone Number	:	803-322-6410

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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Directions to “GOLDEN HEART CARE COMPANY LLC ” Practice Location

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