Golden Retreat at Ict

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

GOLDEN RETREAT AT ICT

Practice address

1320 N Perth CT
Wichita, KS 67208-2728

Phone

(316) 730-3110

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Christine Ngyun

Title

Ceo

Phone

(316) 730-3110

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1689480576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 E CARSON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672102430",
            "telephone_number": "316-730-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N PERTH CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672082728",
            "telephone_number": "316-730-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RETREAT AT ICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "NGYUN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-730-3110"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Gohari, RPT
• Valerie Lane Goin, LMSW
• Gold Standard ABA KS LLC
• Golden Boomers Home Plus LLC
• Golden Grace LLC
• Golden Way Transit LLC
• Golden Way Transit LLC
• Golden Years Home Care LLC
• Iesha D Golden, APRN
• Marty Lynne Golden, L.AC

• Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.