Golden Bridges Assisted Living Incorporated

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOLDEN BRIDGES ASSISTED LIVING INCORPORATED

Practice address

3186 Evans Mill Rd
Lithonia, GA 30038-2420

Phone

(470) 268-5600

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Shelton Dushawn Shatteen

Title

Chief Executive Officer

Phone

(770) 407-9957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679097240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 EVANS MILL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382420",
            "telephone_number": "470-268-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 EVANS MILL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382420",
            "telephone_number": "470-268-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BRIDGES ASSISTED LIVING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHATTEEN",
        "authorized_official_first_name": "SHELTON",
        "authorized_official_middle_name": "DUSHAWN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "770-407-9957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derick Jermaine Gerideau
• Annie Elizabeth Gibson-Boyd, R.D.,L.D.
• Vanessa Gilbert
• Billie Renee Gill-Chestnut, RPT
• Kaleb Aiden Gilmer, LPC
• Golden Bridges Private Home Care, LLC
• Golden Solution Services LLC
• Aprill Goodlow, R.N.
• Lynn Goodwin, MA, LAPC
• Shakea Gordon

• Skilled Nursing Facility in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.