Golden Cottage Afh. Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

611500 Issued in WA

Legal business name

GOLDEN COTTAGE AFH. INC.

Practice address

13809 125TH Ave NE
Kirkland, WA 98034-2259

Phone

(425) 821-9170

Fax

(425) 821-0830

NPI assigned

Jun 26, 2013

Last updated

Jun 26, 2013By 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

Angela Stela Ciorba

Title

Owner

Phone

(425) 821-9170

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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.

• Laura I Iancu, RN

  • Registered Nurse
  • Kirkland, WA
  • NPI 1548889249
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1467892117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13809 125TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342259",
            "telephone_number": "425-821-9170",
            "fax_number": "425-821-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 125TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342259",
            "telephone_number": "425-821-9170",
            "fax_number": "425-821-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN COTTAGE AFH. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "CIORBA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "STELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-821-9170"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "611500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAYEE NUMBER",
            "identifier": "714381",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Godin
• Brian O Goertz, MD
• David A Goetz, M.S. LMHC
• Rebecca M Gogel
• Russell S Goldberg, MD
• Michael P Golden, MD
• Laura G Goldstein, M.D.
• Rachel Golike
• Michael A Golitz, OD
• Jacob Nathaniel Golliet

• Adult Care Home Facility in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.