Organization Active NPI

Golden Life Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Scarborough, ME
National Provider Identifier
1174280143
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GOLDEN LIFE CARE LLC
Practice address
18 Pin Oak Dr Apt 1807
Scarborough, ME 04074-8256
Phone
(207) 448-1214
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Mr. Guerthe Bigirimana, DSP
Title
Ceo
Phone
(207) 408-1214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

18 Pin Oak Dr Apt 1807
Scarborough, ME 04074-8256

Mailing address

18 Pin Oak Dr Apt 1807
Scarborough, ME 04074-8256
Phone (207) 448-1214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1174280143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PIN OAK DR APT 1807",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748256",
            "telephone_number": "207-448-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PIN OAK DR APT 1807",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748256",
            "telephone_number": "207-448-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "BIGIRIMANA",
        "authorized_official_first_name": "GUERTHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-408-1214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DSP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.