Golden Peak Senior Living Corp

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GOLDEN PEAK SENIOR LIVING CORP

Practice address

411 Edmond St
Calhoun, GA 30701-5334

Phone

(470) 469-7136

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By 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

Annie Lum, RN

Title

Administrator

Phone

(470) 469-7136

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1679174429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 EDMOND ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307015334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 EDMOND ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307015334",
            "telephone_number": "470-469-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PEAK SENIOR LIVING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-469-7136",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Gilbert, NP-C
• Rachel T Glaze, CNM, FNP-BC
• Anne-Marie Goble, NP
• Bradley Eugene Goff, M.D.
• Golden Peak Property Group (Ridge Manor Adult Day Care)
• Jose E Gomez, M.D.
• Gordon County Board of Health
• Gordon County Health Department
• Gordon County Schools
• Gordon Emergency Physicians, LLC

• Adult Care Home Facility in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.