Golden Haven Assisted Living LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GOLDEN HAVEN ASSISTED LIVING LLC

Practice address

585 Munsterman PL
Beaumont, TX 77707-1631

Phone

(409) 225-3402

NPI assigned

Nov 25, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Danita Broussard, DNP, RN

Title

Co-Owner

Phone

(409) 225-3402

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1740142140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MUNSTERMAN PL",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777071631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MUNSTERMAN PL",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777071631",
            "telephone_number": "409-225-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HAVEN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "DANITA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "409-225-3402",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.