Golden D Care Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

336403014 Issued in CA

Legal business name

GOLDEN D CARE HOME LLC

Doing business as

GOLDEN D CARE HOME LLC

Practice address

15802 Springdale St
Huntington Beach, CA 92649-1765

Phone

(714) 642-2867

Fax

(951) 683-2686

NPI assigned

Sep 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jessie R Mitchell

Title

Administrator

Phone

(714) 642-2867

Specialties & licenses 1

Addresses

Other names 1

• GOLDEN D CARE HOME LLC Doing business as

Locations

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1356590681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15802 SPRINGDALE ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491765",
            "telephone_number": "714-642-2867",
            "fax_number": "951-683-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15802 SPRINGDALE ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491765",
            "telephone_number": "714-642-2867",
            "fax_number": "951-683-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN D CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-642-2867",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "336403014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN D CARE HOME LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John Golgolab, D.D.S.
• Christina Kathleen Gomes, AOD COUNSELOR
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• Mayra Gomez

• Mental Illness Community Based Residential Treatment Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.