Organization Active NPI

Golden Home Living LLC

  • Assisted Living Facility
  • Saint Anthony, MN
National Provider Identifier
1124679485
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN HOME LIVING LLC
Practice address
2700 37TH Ave NE
Saint Anthony, MN 55421-3634
Phone
(651) 334-7979
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Mr. Keillen Curtis
Title
Owner
Phone
(651) 334-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2700 37TH Ave NE
Saint Anthony, MN 55421-3634

Mailing address

2700 37TH Ave NE
Saint Anthony, MN 55421-3634
Phone (651) 334-7979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1124679485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 37TH AVE NE",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554213634",
            "telephone_number": "651-334-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 37TH AVE NE",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554213634",
            "telephone_number": "651-334-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HOME LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "KEILLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-334-7979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.