Active NPI
Golden Valley Opco, LLC
- Skilled Nursing Facility
- Golden Valley, MN
National Provider Identifier
1194234666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GOLDEN VALLEY OPCO, LLC
- Practice address
- 7505 Country Club Dr
Golden Valley, MN 55427-4501 - Phone
- (763) 450-6900
- NPI assigned
- Sep 27, 2017
- Last updated
- Jul 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Israel
- Title
- Manager
- Phone
- (847) 440-2660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
7505 Country Club Dr
Golden Valley, MN 55427-4501
Mailing address
3701 W Lunt Ave
Lincolnwood, IL 60712-2615
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625529600000",
"number": "1194234666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 W LUNT AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 COUNTRY CLUB DR",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274501",
"telephone_number": "763-450-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN VALLEY OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-27",
"last_updated": "2021-07-06",
"certification_date": "2021-06-04",
"status": "A",
"authorized_official_last_name": "ISRAEL",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-440-2660"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.