Golden Residential Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOLDEN RESIDENTIAL CARE

Practice address

9 Greenleaf St Apt B
Portland, ME 04101-6021

Phone

(207) 632-5108

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Papy Kashama Bongibo, CEO

Title

Ceo

Phone

(207) 632-5108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1386314979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENLEAF ST APT B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016021",
            "telephone_number": "207-632-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GREENLEAF ST APT B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016021",
            "telephone_number": "207-632-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "BONGIBO",
        "authorized_official_first_name": "PAPY",
        "authorized_official_middle_name": "KASHAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-632-5108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvene Golbazi
• Edward James Gold, DMD
• Rosalind Gold, MD
• Stephen R Goldbas, D.O.
• Nicole T. Goldberg, CNM
• Lewis P Golden, M.D.
• Marcia Goldenberg, RN
• Mollie Bash Goldenberg, PA-C
• Goldenstar Home Care, LLC
• Allyson L Goldman-Putnam, LCSW

• In Home Supportive Care Agency in Portland, ME
• Providers in Portland, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.