Golden Oak Crest LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN OAK CREST LLC

Doing business as

Country View

Practice address

10507 S Chicago Rd
Oak Creek, WI 53154-6605

Phone

(414) 764-3303

Fax

(414) 764-8156

NPI assigned

Jun 2, 2008

Last updated

Apr 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Teresinski

Title

Managing Director

Phone

(414) 940-6608

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country View Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1083872451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST STE 305",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272141",
            "telephone_number": "414-940-6608",
            "fax_number": "262-364-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 S CHICAGO RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531546605",
            "telephone_number": "414-764-3303",
            "fax_number": "414-764-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAK CREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "TERESINSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "414-940-6608"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DHS",
            "identifier": "0011567",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Alexandra Giese, APNP
• Kasey A Gillmore, AUD
• Kate Gintoft, PT, DPT
• Eleah Jennifer Glander, D.C.
• Gold Star Wi LLC (gold star transit)
• Aaron J Golembiewski, RPH
• Celina Leon Gonzalez
• Sarah Marie Goodle, APNP, DNP, FNP-C
• Allison Gralak
• Alison Grande, PHARMD

• Assisted Living Facility in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.