Golden Jubilee Healthcare Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GOLDEN JUBILEE HEALTHCARE INC.

Practice address

4016 Bloomington Ave
Minneapolis
Minneapolis, MN 55407-3331

Phone

(612) 607-9998

NPI assigned

May 4, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Lancelot Wray

Title

Ceo

Phone

(612) 607-9998

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1093074437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 BLOOMINGTON AVE. SOUTH",
            "address_2": "MINNEAPOLIS",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-607-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 BLOOMINGTON AVE",
            "address_2": "MINNEAPOLIS",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073331",
            "telephone_number": "612-607-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN JUBILEE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "LANCELOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-607-9998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Adam Goldberg, LICSW
• Sora Leah Goldberg
• Golden Day Services Corp
• Golden Health LLC
• Golden Hope Therapy Services LLC
• Golden Kids Behavioral Therapy LLC
• Golden Valley Support Services LLC
• Golden Wellness Center LLC
• Golden Years Center Inc
• Deirdre Ammie Golden, PHD LP

• Adult Day Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.