Organization Active NPI

Golden Path Senior Living Corp

  • Assisted Living Facility
  • Milwaukee, WI
National Provider Identifier
1053122663
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN PATH SENIOR LIVING CORP
Practice address
10343 W Donna Dr
Milwaukee, WI 53224-2358
Phone
(414) 236-5787
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Nicosia King
Title
Owner
Phone
(262) 748-2596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10343 W Donna Dr
Milwaukee, WI 53224-2358

Mailing address

8828 S Santa Elizabeth Dr
Goodyear, AZ 85338-7013
Phone (262) 748-2596

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1053122663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 S SANTA ELIZABETH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387013",
            "telephone_number": "262-748-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10343 W DONNA DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242358",
            "telephone_number": "414-236-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PATH SENIOR LIVING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICOSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-748-2596"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.