Golden Harbor, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN HARBOR, LLC

Practice address

505 S Water St
Sheboygan, WI 53081-4429

Phone

(262) 470-5388

NPI assigned

Jul 3, 2011

Organization subpart

No

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

Authorized official

Name

John Teresinski

Title

Managing Director

Phone

(414) 940-6608

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Harbor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1309651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1831486448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST STE 305",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272141",
            "telephone_number": "414-940-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S WATER ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814429",
            "telephone_number": "262-470-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HARBOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-03",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "TERESINSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "414-940-6608"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DHS",
            "identifier": "0013780",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Harbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glander Inc
• Alexandra C Glasscock, MD
• Amy Claire Glewen, PT
• Amy Goebel, PT
• Daniel Ross Goeckermann, DDS
• Julie Golding
• Amber Golembeski, RN
• David Gonzalez
• Renee Jean Gonzalez, NURSING LPN
• Mary Joanne Goodman, CSW, SAC-IT

• Assisted Living Facility in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.