OrganizationActive
Hearts of Gold LLC
NPI 1124747753 · Assisted Living Facility (Behavioral Disturbances) · Phoenix, AZ
Provider details
- NPI number
- 1124747753
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Bangura, Owner(623) 216-5759
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
22601 N 30th Ave
Phoenix, AZ 85027-1005
Phone: (623) 216-5759
Approximate (ZIP-level) locationGet directions
Mailing address
22601 N 30th Ave
Phoenix, AZ 85027-1005
Registry dates
- Enumerated
- 2022-08-25
- Last updated
- 2022-08-25
- Certified
- 2022-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.