MEDICARE: SISTER'S HEARTS OF GOLD, 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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1265388599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SISTER'S HEARTS OF GOLD, LLC

Provider Business Mailing Address
First Line	:	PO BOX 12227
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75607-2227
Country	:	US
Telephone Number	:	903-374-3275
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 PRESTON DR
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75604-4434
Country	:	US
Telephone Number	:	903-374-3275
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SHAMEKA LASHAY TEMPLETON
Credential	:	RN
Telephone Number	:	903-252-2908

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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