Golden Haven Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN HAVEN SENIOR LIVING LLC

Doing business as

Golden Haven Senior Living

Practice address

809 N Central Ave
Addison, IL 60101-6013

Phone

(331) 305-4408

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Eric Mensah

Title

Co-Owner

Phone

(331) 305-4408

Specialties & licenses 1

Addresses

Other names 1

• Golden Haven Senior Living Doing business as

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1942070347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N CENTRAL AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601016013",
            "telephone_number": "331-305-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N CENTRAL AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601016013",
            "telephone_number": "331-305-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HAVEN SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "331-305-4408"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Haven Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Haven Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Addison, IL
• Providers in Addison, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.