Golden Oaks Assisted Living I LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN OAKS ASSISTED LIVING I LLC

Practice address

27882 Highway H
Marshall, MO 65340-5303

Phone

(660) 886-6172

NPI assigned

May 24, 2023

Last updated

Jan 30, 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

Raquel Edery

Title

Owner

Phone

(516) 708-3503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1881386217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTRAL AVE UNIT 215",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162021",
            "telephone_number": "516-708-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27882 HIGHWAY H",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653405303",
            "telephone_number": "660-886-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAKS ASSISTED LIVING I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "EDERY",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-708-3503"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Fitzpatrick, FNP
• Megan Rae Forrer, PLPC
• Lindsey Gerfaud, OTR/L
• Zachary Dean Glenn, ATC
• Avery Goehman, MS CCC SLP
• Golden Oaks, LLC
• Ann Marie Gray, M.D.
• Shelby Lee Gregory, DDS
• Tracy Jean Guthrie, FNP-BC
• Brenda Gutierrez, NP

• Assisted Living Facility in Marshall, MO
• Providers in Marshall, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.