Golden Peak Property Group

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

GOLDEN PEAK PROPERTY GROUP

Doing business as

Ridge Manor Adult Day Care
Ridge Manor Residential Memory Care - Calhoun

Practice address

411 Edmond St
Calhoun, GA 30701-5334

Phone

(470) 469-7136

NPI assigned

Sep 22, 2021

Last updated

Jan 28, 2023By 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

Jason Lum

Title

Administrator

Phone

(470) 469-7136

Specialties & licenses 7

Addresses

Other names 2

• Ridge Manor Adult Day Care Doing business as
• Ridge Manor Residential Memory Care - Calhoun Doing business as

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.

• Annie Lum, RN

  • Registered Nurse
  • Canton, GA
  • NPI 1518222694
  NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674864000000",
    "number": "1366113102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 EDMOND ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307015334",
            "telephone_number": "470-469-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 EDMOND ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307015334",
            "telephone_number": "470-469-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PEAK PROPERTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-469-7136"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridge Manor Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridge Manor Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridge Manor Residential Memory Care - Calhoun",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aylissa Victoria Gilbert
• Rhonda Gilbert, NP-C
• Rachel T Glaze, CNM, FNP-BC
• Anne-Marie Goble, NP
• Bradley Eugene Goff, M.D.
• Golden Peak Senior Living Corp
• Jose E Gomez, M.D.
• Gordon County Board of Health
• Gordon County Health Department
• Gordon County Schools

• Assisted Living Facility (Mental Illness) in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Assisted Living Facility (Mental Illness) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; 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.