Organization Active NPI

Atria Golden Creek, Inc

Doing business as Golden Creek

  • Assisted Living Facility
  • Irvine, CA
National Provider Identifier
1164726006
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ATRIA GOLDEN CREEK, INC
Doing business as
Golden Creek
Practice address
33 Creek Rd
Irvine, CA 92604-4791
Phone
(949) 786-5665
NPI assigned
Jan 7, 2011
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ATRIA GOLDEN CREEK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
John Moore
Title
Ceo
Phone
(502) 779-7608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

33 Creek Rd
Irvine, CA 92604-4791

Mailing address

33 Creek Rd
Irvine, CA 92604-4791
Phone (949) 786-5665

Other names 1

  • Golden Creek Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2222329WG Golden Creek SH, LP33 Creek Road, Irvine, CA 92604Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory
Part of
Atria Golden Creek Inc

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1164726006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CREEK RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-786-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-786-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIA GOLDEN CREEK, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATRIA GOLDEN CREEK, INC",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-779-7608"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.