Organization Active NPI

Golden Oak Senior Services LLC Dba Lemoyne Place

  • Assisted Living Facility
  • Biloxi, MS
National Provider Identifier
1124668777
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN OAK SENIOR SERVICES LLC DBA LEMOYNE PLACE
Doing business as
Lemoyne Place
Practice address
14306 Lemoyne Blvd
Biloxi, MS 39532-9760
Phone
(228) 396-1998
Fax
(228) 396-2907
NPI assigned
Jan 12, 2020
Organization subpart
Yes
Parent organization
GOLDEN OAK SENIOR SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Authorized official

Name
Deedy Killen, RN
Title
Owner
Phone
(228) 396-1998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

14306 Lemoyne Blvd
Biloxi, MS 39532-9760

Mailing address

14306 Lemoyne Blvd
Biloxi, MS 39532-9760
Phone (228) 396-1998

Other names 1

  • Lemoyne Place Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lemoyneplace@outlook.com Direct

National Provider Directory

National Provider Directory
Part of
Golden Oak Senior Services LLC Dba Lemoyne Place

NPI Registry JSON

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578787200000",
    "number": "1124668777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14306 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395329760",
            "telephone_number": "228-396-1998",
            "fax_number": "228-396-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14306 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395329760",
            "telephone_number": "228-396-1998",
            "fax_number": "228-396-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAK SENIOR SERVICES LLC DBA LEMOYNE PLACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN OAK SENIOR SERVICES LLC",
        "enumeration_date": "2020-01-12",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A",
        "authorized_official_last_name": "KILLEN",
        "authorized_official_first_name": "DEEDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-396-1998",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lemoyneplace@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messages",
            "address_1": "14306 Lemoyne Blvd",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395329760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lemoyne Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.