Golden Angel Residential Assisted Living

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

GOLDEN ANGEL RESIDENTIAL ASSISTED LIVING

Doing business as

Golden Angel Residential Assisted Living
Golden Angels

Practice address

2321 N Kenmere Dr
Meridian, ID 83646-1675

Phone

(208) 440-6545

Fax

(208) 376-2908

NPI assigned

Apr 25, 2022

Last updated

Sep 11, 2025By 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

Dr. Duke Mutua Nyarecha, NPNPI 1235625914

Title

Administrator

Phone

(208) 440-6545

Specialties & licenses 1

Addresses

Other names 2

• Golden Angel Residential Assisted Living Doing business as
• Golden Angels Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Duke M Nyarecha, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nampa, ID
  • NPI 1235625914
  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730823816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 N KENMERE PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461675",
            "telephone_number": "208-440-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N KENMERE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461675",
            "telephone_number": "208-440-6545",
            "fax_number": "208-376-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ANGEL RESIDENTIAL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NYARECHA",
        "authorized_official_first_name": "DUKE",
        "authorized_official_middle_name": "MUTUA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-440-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Angel Residential Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gold Orthodontics, P.C.
• Chad Gold, LPC
• Michael L. Gold, D.M.D.
• Marcel Alexander Goldberg, MD
• Andrea Goldberger, PT
• Carolyn Suzanne Golden, PSY.D
• Olyvia J Golleher
• Brian W Goltry, MD
• Brittany Gonzales
• Dane David Gonzales, PHARMD

• Assisted Living Facility (Mental Illness) in Meridian, ID
• Providers in Meridian, ID by specialty
• Assisted Living Facility (Mental Illness) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.