Golden Maple Homes, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

32150 Issued in MN

Legal business name

GOLDEN MAPLE HOMES, INC.

Practice address

13104 Girard Ave S
Burnsville, MN 55337-2408

Phone

(952) 393-3690

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Carol Fillmore, DNP

Title

Owner

Phone

(952) 393-3690

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1356701379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 GIRARD AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 GIRARD AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372408",
            "telephone_number": "952-393-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MAPLE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "FILLMORE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-393-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MN",
            "license": "32150",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "32150",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MN",
            "license": "32150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Brien Godfrey, M.D.
• Ryan H Goeke, OT
• Angela A Goens
• Anna Goettl
• Leah Marie Gohman
• Erica Lynn Golofski, MA, LPCC
• Ariel Goltzman, MSW, LICSW
• Alexandra Golz
• Jose Luis Gonzales Jr.
• Elijah James Gonzalez

• Custodial Care Facility in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Custodial Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.