Golden Moments Senior Care Center LTD.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1738336 Issued in IL

Legal business name

GOLDEN MOMENTS SENIOR CARE CENTER LTD.

Practice address

3845 Oakton St
Skokie, IL 60076-3429

Phone

(847) 679-0100

Fax

(847) 679-0673

NPI assigned

May 1, 2006

Last updated

Aug 22, 2020By 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

Mr. Glen Miller

Title

Administrator

Phone

(217) 245-4174

Specialties & licenses 1

Addresses

Tax ID family

Golden Moments Senior Care Center LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Golden Moments Senior Care Center LTD

  • Skilled Nursing Facility
  • Jacksonville, IL
  • NPI 1467450866
  NPD tax ID

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922066000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763429",
            "telephone_number": "847-679-0100",
            "fax_number": "847-679-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763429",
            "telephone_number": "847-679-0100",
            "fax_number": "847-679-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MOMENTS SENIOR CARE CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-245-4174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1738336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marni Hope Goldberg, MD
• Roger P Goldberg, M.D.
• Steven B. Goldberg, MD
• Golden Health & Wellness
• Golden Health Services LLC
• Lynne Wise Golden, MS, OTR
• Mary Beth A Golden, LCSW
• Goldin Dermatology LLC
• Harry M Goldin, M.D.
• Betty Goldstein, M.D.

• Skilled Nursing Facility in Skokie, IL
• Providers in Skokie, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.