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GOLDEN EAGLE SENIOR LIVING INC. NPI 1629721113


NPI Information

NPI: 1629721113
Provider Name: GOLDEN EAGLE SENIOR LIVING, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3401 LEMON ST
RIVERSIDE, CA
ZIP 92501
Phone: (951) 686-8202
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GOLDEN EAGLE SENIOR LIVING, INC. is an assisted living facility in Riverside, CA. 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 EAGLE SENIOR LIVING, INC. NPI is 1629721113. The provider is registered as an organization entity type.

The provider's business location address is:

3401 LEMON ST
RIVERSIDE, CA
ZIP 92501-861
Phone: (951) 686-8202
Fax: (951) 784-1508

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The enumeration date for this NPI number is 2/3/2022 and was last updated on 2/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.