Organization
GOLDEN HEARTS HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANIESHA DESHE HORNE (ADMINISTRATOR)
(948) 220-9031
Entity
Organization
Contact information
Practice address
3405 TYRE NECK RD, PORTSMOUTH, VA 23703-3333
(948) 220-9031
(757) 835-0177
Mailing address
3405 TYRE NECK RD STE 1, PORTSMOUTH, VA 23703-3333
(757) 536-5321
(757) 835-0177
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018352680001
—
VA
Enumeration date
01/07/2025
Last updated
01/06/2026
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