Organization Active NPI

Golden Path Home Care Services LLC

  • Assisted Living Facility
  • Andover, MN
National Provider Identifier
1255039269
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN PATH HOME CARE SERVICES LLC
Practice address
2094 151St LN NW
Andover, MN 55304-4590
Phone
(763) 269-9240
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Linda Moraa MongareNPI 1568077725
Title
Director of Nursing
Phone
(762) 269-9240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2094 151St LN NW
Andover, MN 55304-4590

Mailing address

7237 146TH Ave NW
Ramsey, MN 55303-9117
Phone (763) 269-9240

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
24D2278618Golden Path Home Care Services, LLC2094 151St Lane NW, Andover, MN 55304Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1255039269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7237 146TH AVE NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553039117",
            "telephone_number": "763-269-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 151ST LN NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044590",
            "telephone_number": "763-269-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PATH HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "MONGARE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MORAA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "762-269-9240"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.