Golden Oaks Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

327279 Issued in MN

Legal business name

GOLDEN OAKS INC.

Practice address

4067 Runke Rd
Hermantown, MN 55811

Phone

(218) 729-5014

Fax

(218) 729-0319

NPI assigned

Jun 9, 2005

Last updated

Aug 20, 2008By 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

Mrs. Laura Marie Lokken

Title

Director of Nursing/Owner

Phone

(218) 729-5014

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Golden Oaks Advanced Assisted Living Plus - Proctor

  • Assisted Living Facility
  • Proctor, MN
  • NPI 1154584027
  NPPES parent name

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1326042151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 RUNKE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-729-5014",
            "fax_number": "218-729-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 RUNKE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-729-5014",
            "fax_number": "218-729-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAKS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "LOKKEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING/OWNER",
        "authorized_official_telephone_number": "218-729-5014",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "327279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959517100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Lynn Frestedt
• Rachel Lynn Frost, PMHNP-BC
• Jessica Gerard, FNP
• Abigail Mae Gilbertson
• Megan Emma Gohl
• Jazmin Kay Graczyk
• Sydnie Rose Graczyk
• Kecia Rose Granger
• Stacy Lynn Grassinger
• Elley Win Graysmark

• Assisted Living Facility in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.