GOLDEN LAKE CARE HOME NPI 1568968733

NPI Information

NPI: 1568968733
Provider Name: GOLDEN LAKE CARE HOME

Doing Business As: MAIDE LLC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
9719 TUMBLE LAKE CT
LAS VEGAS, NV
ZIP 89147
Phone: (702) 755-1800
Get Directions

GOLDEN LAKE CARE HOME is an assisted living facility in Las Vegas, NV. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GOLDEN LAKE CARE HOME NPI is 1568968733. The provider is registered as an organization entity type.
The provider Is Doing Business As Maide Llc.

The provider's business location address is:

9719 TUMBLE LAKE CT
LAS VEGAS, NV
ZIP 89147-749
Phone: (702) 755-1800

The provider's authorized official is Sokhena K Huch .
The authorized official title is Employee/agent and has the following contact phone number (702) 755-1800.

The enumeration date for this NPI number is 4/4/2018 and was last updated on 4/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		7557-AGC-7	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9005057599	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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