Organization
GOLDEN HEART CAREGIVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI HARRISON (PRESIDENT/OWNER)
(317) 871-2600
Entity
Organization
Contact information
Practice address
7770 MICHIGAN RD, SUITE: D, INDIANAPOLIS, IN 46268-2375
(317) 871-2600
(317) 871-2714
Mailing address
7770 MICHIGAN RD, SUITE: D, INDIANAPOLIS, IN 46268-2375
(317) 871-2600
(317) 871-2714
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
13-013270-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201170870 A
—
IN
Enumeration date
08/07/2013
Last updated
08/07/2013
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