Golden Pond Resident Care Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN POND RESIDENT CARE CORP

Practice address

50 W Main St
Hopkinton, MA 01748-1672

Phone

(508) 435-1250

Fax

(508) 435-2213

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Marr

Title

Executive Director

Phone

(508) 435-1250

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508996588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481672",
            "telephone_number": "508-435-1250",
            "fax_number": "508-435-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481672",
            "telephone_number": "508-435-1250",
            "fax_number": "508-435-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN POND RESIDENT CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-435-1250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902008",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901982",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayna Elizabeth Gatautis, LMHC
• Brian George Gaughan, DC
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• Jennifer B Green, PT, CSCS
• Lois Grow

• Assisted Living Facility in Hopkinton, MA
• Providers in Hopkinton, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.