OrganizationActive
A Heart of Gold Home LLC
NPI 1508622960 · Emotionally Disturbed Childrens' Residential Treatment Facility · San Tan Valley, AZ
Provider details
- NPI number
- 1508622960
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Leighann Johnson, Owner
Practice location
1958 E Renegade Trl
San Tan Valley, AZ 85143-4460
Phone: (928) 250-9436
Mailing address
1958 E Renegade Trl
San Tan Valley, AZ 85143-4460
Registry dates
- Enumerated
- 2024-02-23
- Last updated
- 2024-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.