Golden Boomers Home Plus LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

365 Issued in KS

Legal business name

GOLDEN BOOMERS HOME PLUS LLC

Practice address

6953 E Kentford Cir
Wichita, KS 67226-1026

Phone

(316) 730-3110

NPI assigned

Dec 2, 2015

Last updated

Feb 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Nguyen, OPERATOR

Title

Ceo, Operator

Phone

(316) 730-3110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1215302278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 E CARSON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672102430",
            "telephone_number": "316-730-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6953 E KENTFORD CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261026",
            "telephone_number": "316-730-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BOOMERS HOME PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO, OPERATOR",
        "authorized_official_telephone_number": "316-730-3110",
        "authorized_official_credential": "OPERATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.