MEDICARE: HEART OF GOLD ADULT DAY CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	347C00000X	Private Vehicle
2	347E00000X	Transportation Broker
3	364SA2100X	Acute Care Clinical Nurse Specialist
4	385H00000X	Respite Care
5	251C00000X	Developmentally Disabled Services Day Training Agency
6	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1821674433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART OF GOLD ADULT DAY CARE LLC

Provider Business Mailing Address
First Line	:	2904 TRIMMIER RD # B16
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-6038
Country	:	US
Telephone Number	:	254-833-1926
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 TRIMMIER RD # B16
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-6038
Country	:	US
Telephone Number	:	254-203-8832
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR / OWNER
Name	:	DONNETTA BILLS
Credential	:
Telephone Number	:	254-245-9076

Provider Enumeration Date	:	03/23/2021
Last Update Date	:	06/05/2025

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