Golden Residential Care Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GOLDEN RESIDENTIAL CARE HOME

Practice address

166 Foote Ave
San Francisco, CA 94112-3604

Phone

(415) 587-2507

Fax

(415) 452-0486

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Antonina Mistas Magtibay

Title

Owner / Administrator

Phone

(415) 587-2507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1679767578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 FOOTE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123604",
            "telephone_number": "415-587-2507",
            "fax_number": "415-452-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 FOOTE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123604",
            "telephone_number": "415-587-2507",
            "fax_number": "415-452-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RESIDENTIAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "MAGTIBAY",
        "authorized_official_first_name": "ANTONINA",
        "authorized_official_middle_name": "MISTAS",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "415-587-2507"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.