Organization Active NPI

Golden Bridge Home Care LLC

  • Assisted Living Facility
  • Woodbury, MN
National Provider Identifier
1740145572
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN BRIDGE HOME CARE LLC
Practice address
8260 Saddle TRL
Woodbury, MN 55129-5705
Phone
(763) 377-1106
NPI assigned
Dec 23, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Mihiretab Shegum
Title
Manager
Phone
(763) 377-1106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

8260 Saddle TRL
Woodbury, MN 55129-5705

Mailing address

8260 Saddle TRL
Woodbury, MN 55129-5705
Phone (763) 377-1106

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1740145572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 SADDLE TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551295705",
            "telephone_number": "763-377-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 SADDLE TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551295705",
            "telephone_number": "763-377-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BRIDGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "SHEGUM",
        "authorized_official_first_name": "MIHIRETAB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-377-1106"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.