GOLDEN HEART CARE
NPI 1649722000
Clinic/Center - Primary Care in Phoenix, AZ

Q: What is Golden Heart Care's NPI number?

The NPI number for Golden Heart Care is 1649722000. It was assigned to this organization in the NPPES registry on November 1, 2016.

Q: What is Golden Heart Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Golden Heart Care was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2016

21620 N 19TH AVE STE A6, PHOENIX, AZ 85027(623) 248-1162(623) 248-4570 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Apr 11, 2024, Jun 10, 2020 and 2 more (5 updates tracked since 2016).

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About Golden Heart Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN HEART CARE (NPI 1649722000) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since November 2016. The organization lists Carlos Villicana, President, as its authorized official.

NPPES Registry Identity

NPI1649722000

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameGOLDEN HEART CARE

Location Address21620 N 19TH AVE STE A6Phoenix, AZ 85027-2716

Mailing Address21620 N 19th Ave Ste A6Phoenix, AZ 85027-2716 · (623) 606-1907 · Fax (623) 248-4570

Phone(623) 248-1162

Fax(623) 248-4570

Organization SubpartNo

Authorized OfficialCarlos VillicanaPresident · (623) 248-1162

Enumeration DateNovember 1, 2016

Last NPPES UpdateApril 23, 20265 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1649722000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

21620 N 19TH AVE STE A6, Phoenix, AZ 85027

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL DANIEL EANCHEFF

Specialist/Technologist (Speech-Language Assistant)