NPIMap

Organization Active NPI

Golden Elderly Care Suites LLC

  • Assisted Living Facility
  • White Bear Lake, MN
National Provider Identifier
1548610207
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
373034 Issued in MN
Legal business name
GOLDEN ELDERLY CARE SUITES LLC
Practice address
4624 Stoddart Circle
White Bear Lake, MN 55127
Phone
(763) 447-7717
Fax
(651) 484-5130
NPI assigned
Jun 14, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Nancy Huelma Strandlund, RN
Title
President/Owner
Phone
(763) 447-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 373034 MN Primary

Addresses

Primary practice location

4624 Stoddart Circle
White Bear Lake, MN 55127

Mailing address

1066 Sherwood Rd
Shoreview, MN 55126-8429
Phone (763) 447-7717

National Provider Directory

National Provider Directory
Tax ID family
Golden Elderly Care Suites LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1548610207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 SHERWOOD RD",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268429",
            "telephone_number": "763-447-7717",
            "fax_number": "651-484-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 STODDART CIRCLE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "55127",
            "telephone_number": "763-447-7717",
            "fax_number": "651-484-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ELDERLY CARE SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "STRANDLUND",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "HUELMA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "763-447-7717",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "373034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.