Goldmine Assisted Living Home JV LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDMINE ASSISTED LIVING HOME JV LLC

Doing business as

Assisted Living Home

Practice address

2785 W Goldmine Mountain Dr
San Tan Valley, AZ 85144-4752

Phone

(602) 487-8998

NPI assigned

Jul 13, 2024

Last updated

Aug 13, 2024By 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

James Verdieu, LICENCE MANAGERNPI 1427670207

Title

Manager

Phone

(602) 487-8998

Specialties & licenses 1

Addresses

Other names 2

• Assisted Living Home Doing business as
• Goldmine Assisted Living Home JV llc Former legal business name

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.

• James Verdieu

  • Home Health Aide
  • San Tan Valley, AZ
  • NPI 1427670207
  NPD Authorized official

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1396582557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 W GOLDMINE MOUNTAIN DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851444752",
            "telephone_number": "602-487-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 W GOLDMINE MOUNTAIN DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851444752",
            "telephone_number": "602-487-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDMINE ASSISTED LIVING HOME JV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "VERDIEU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-487-8998",
        "authorized_official_credential": "LICENCE MANAGER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goldmine Assisted Living Home JV llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tora J Gerrick, CNM
• Diane Getz, COTA/L
• Jeremy Lee Gianzero, RN
• Matthew Gillon, OD
• Global Group Homes Az, LLC
• Joel R Goldstone, MD
• Kaitlyn Golemon, AU.D
• Good Health Medical, PLLC (My Dr Now)
• Good Health Urgent Care, PLLC
• Good Hope Resources Inc

• Assisted Living Facility in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.