Golden State Enterprises LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GOLDEN STATE ENTERPRISES LLC

Practice address

1120 E Appaloosa Rd # RC
Gilbert, AZ 85296-3029

Phone

(480) 326-6607

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Madonna Marie Hashem

Title

Ceo

Phone

(480) 326-6607

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1679325336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E APPALOOSA RD # RC",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963029",
            "telephone_number": "480-326-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E APPALOOSA RD # RC",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963029",
            "telephone_number": "480-326-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "HASHEM",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-326-6607",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordynn Gocklin
• Kristine Anne Godinez, LPC
• Mary Goetsch, PA-C
• Tushar Gohel, MD
• Jonathan Goit, DO
• Kristin Michelle Golden, ATC, LAT
• David Todd Goldenberg, MD
• Philip Allen Goldfarb, MD
• Jennifer Lynn Golding, PA-C
• Sanford A Goldstein, PT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.