Organization
HEART OF GOLD SENIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANN WADE (ADMINISTRATOR/OWNER)
(863) 595-8927
Entity
Organization
Contact information
Practice address
1915 BARTLEY ST, HAINES CITY, FL 33844-2925
(863) 595-8927
(863) 877-2974
Mailing address
1915 BARTLEY ST, HAINES CITY, FL 33844-2925
(863) 595-8927
(863) 877-2974
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101313200
—
FL
Enumeration date
09/17/2018
Last updated
06/18/2025
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