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HEART OF GOLD ADULT DAY CARE LLC NPI 1821674433


NPI Information

NPI: 1821674433
Provider Name: HEART OF GOLD ADULT DAY CARE LLC

Doing Business As: HEART OF GOLD ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 45D2249932

Address:
2904 TRIMMIER RD # B16
KILLEEN, TX
ZIP 76542
Phone: (254) 203-8832
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HEART OF GOLD ADULT DAY CARE LLC is an adult day care clinic center in Killeen, TX. HEART OF GOLD ADULT DAY CARE LLC NPI is 1821674433. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Heart Of Gold Adult Day Care.

The provider's business location address is:

2904 TRIMMIER RD # B16
KILLEEN, TX
ZIP 76542-038
Phone: (254) 203-8832

The provider's authorized official is Donnetta Bills .
The authorized official title is Administrator / Owner and has the following contact phone number (254) 203-8832.

The CLIA number assigned to this NPI record is 45D2249932 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2021 and was last updated on 5/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225CX0006XRehabilitation CounselorOrientation and Mobility Training ProviderNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3282N00000XGeneral Acute Care HospitalNo
4343900000XNon-emergency Medical Transport (VAN)No
5347C00000XPrivate VehicleNo
6347E00000XTransportation BrokerNo
7363LA2100XNurse PractitionerAcute CareNo
8364SA2100XClinical Nurse SpecialistAcute CareNo
9385H00000XRespite CareNo
10261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.