Golden Nest, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

332070 Issued in MN

Legal business name

GOLDEN NEST, LLC

Practice address

6733 Emerson Ave S
Richfield, MN 55423

Phone

(612) 861-7509

Fax

(612) 861-7509

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Hongjoo Lee

Title

Director

Phone

(651) 755-2836

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578648069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 EAGLE VALLEY DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294224",
            "telephone_number": "651-755-2836",
            "fax_number": "612-861-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 EMERSON AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-861-7509",
            "fax_number": "612-861-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN NEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HONGJOO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-755-2836",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "332070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jordan Gibson, M.A., CCC-SLP
• Benjamin Jacob Gifford
• James Peter Gitter, M.D.
• Yolanda Glass, LICSW, LCSW-C
• Global Language Solutions LLC
• Golden Years Residence
• Justin Daniel Golden, M.D.
• Dulce Carina Gonzalez Sanchez
• Montrell Tyreese Gonzalez
• Gopher (Richfield) TRS LLC (Havenwood of Richfield)

• Assisted Living Facility in Richfield, MN
• Providers in Richfield, MN by specialty
• Assisted Living Facility in Minnesota

• 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.