# GOLDEN HEART HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518620228
- **Authorized official:** MRS. DIONA COATES REGISTERED NURSE (OWNER)
- **Authorized official phone:** (314) 363-4010

## Contact information

- **Practice address:** 16747 STANFORD PLACE DR, FLORISSANT, MO 63034-3214
- **Practice address phone:** (314) 363-4010
- **Mailing address:** 16747 STANFORD PLACE DR, FLORISSANT, MO 63034-3214
- **Mailing address phone:** (314) 363-4010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2021
- **Last updated:** 10/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 27019284 | MOID | MO |