Golden Acre Residential Care, LLC.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS82030507 Issued in MI

Legal business name

GOLDEN ACRE RESIDENTIAL CARE, LLC.

Practice address

8253 Stoneham Dr
Ypsilanti, MI 48197-6607

Phone

(734) 547-5058

Fax

(734) 547-5449

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By 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

Ms. Laura Etta Sarrach, REGISTERED NURSE

Title

Administrator

Phone

(734) 620-3895

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1609129469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8253 STONEHAM DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976607",
            "telephone_number": "734-547-5058",
            "fax_number": "734-547-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8253 STONEHAM DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976607",
            "telephone_number": "734-547-5058",
            "fax_number": "734-547-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ACRE RESIDENTIAL CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "SARRACH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-620-3895",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS82030507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Gluck, PA-C
• Matthew Stevens Gluck
• Susan M Godell, NP
• Amanda Marie Koroly Godfrey, M.D.
• Melissa Andrzejak Goedtel, MD
• Latasha Lynn Golden
• Roy Jonathan Golden, M.D.
• Dawn M Goldstein, PMHNPBC
• David Golovoy, M.D.
• Silvia Esperanza Gonzalez, N.P.

• Adult Care Home Facility in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.