Golden Living

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2389-19 Issued in WI

Legal business name

GOLDEN LIVING

Practice address

925 S Oxford Ave
B2
Sturgeon Bay, WI 54235-3907

Phone

(920) 495-6533

NPI assigned

Dec 5, 2015

Last updated

Dec 5, 2015By 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

Ashley Anna Hall

Title

Physical Therapist Assistant

Phone

(920) 495-6533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449273600000",
    "number": "1710352596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S OXFORD AVE",
            "address_2": "B2",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353907",
            "telephone_number": "920-495-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S OXFORD AVE",
            "address_2": "B2",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353907",
            "telephone_number": "920-495-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-05",
        "last_updated": "2015-12-05",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "920-495-6533"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2389-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Loretta Geier, OTR
• Michele J Geiger-Bronsky, MSN APNP BC
• Breanne Terese Gendron, NP
• Brenda Sue Gilbertson, RN
• Jacklyn Goddard, PT
• George Gorchynsky, M.D.
• Megan Angela Gorin, DPT
• Gary A Grahl, LPC
• Paul N Greenlaw, M.D.
• Derek Grenfell, D.C.

• Skilled Nursing Facility in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2015; 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.