Golden Healthcare Service LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GOLDEN HEALTHCARE SERVICE LLC

Practice address

2579 Charlotte St
Roseville, MN 55113-2808

Phone

(763) 498-4448

NPI assigned

Jul 15, 2025

Last updated

Jul 15, 2025By 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

Ekan Ekong, NURSE PRACTITIONERNPI 1770239758

Title

Medical Director

Phone

(763) 498-4448

Specialties & licenses 2

Addresses

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.

• Ekan J Ekong, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Shoreview, MN
  • NPI 1770239758
  NPD Authorized official

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1437040581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 CHARLOTTE ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132808",
            "telephone_number": "763-498-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 CHARLOTTE ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132808",
            "telephone_number": "763-498-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEALTHCARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "EKAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "763-498-4448",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Catherine Gleason, LMFT
• Erin Maureen Glembocki, MD
• Grady Glynn, DPT
• James K Goddard III, MD
• Timothy C Goertzen, MD
• Laura Ann Gonshorowski
• Karalyn Goodyear
• Cimena Gordon, LICSW
• Gorman Optical Inc
• Ibrahim Rashid Goro

• Psychiatric/Mental Health Nurse Practitioner in Roseville, MN
• Providers in Roseville, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.