Golden Valley Residence

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

24404 Issued in MN

Legal business name

GOLDEN VALLEY RESIDENCE

Practice address

1940 Major Dr N
Golden Valley, MN 55422-4155

Phone

(763) 521-4839

Fax

(763) 521-4148

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marcia Dooner

Title

Administrator

Phone

(763) 550-1774

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013089911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 LANCASTER LN N",
            "address_2": "SUITE 109",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411700",
            "telephone_number": "763-550-1774",
            "fax_number": "763-559-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 MAJOR DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224155",
            "telephone_number": "763-521-4839",
            "fax_number": "763-521-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOONER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-550-1774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "24404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Valley Chiropractic PLLC
• Golden Valley Home Care
• Golden Valley Kids PLLC
• Golden Valley Opco, LLC
• Golden Valley Rehab and Care Center
• Jody Goldie, LMFT
• Tera Alford Goldman
• Steven B Goldschmidt, DC
• Jafar Golzarian, MD
• Goodstead LLC

• Assisted Living Facility in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.