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GOLDEN PEAK PROPERTY GROUP NPI 1366113102


NPI Information

NPI: 1366113102
Provider Name: GOLDEN PEAK PROPERTY GROUP

Doing Business As: RIDGE MANOR ADULT DAY CARE

Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
411 EDMOND ST
CALHOUN, GA
ZIP 30701
Phone: (470) 469-7136
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GOLDEN PEAK PROPERTY GROUP is an assisted living and mental illness assisted living facility in Calhoun, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. GOLDEN PEAK PROPERTY GROUP NPI is 1366113102. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridge Manor Adult Day Care.

The provider's business location address is:

411 EDMOND ST
CALHOUN, GA
ZIP 30701-334
Phone: (470) 469-7136

The provider's authorized official is Jason Lum .
The authorized official title is Administrator and has the following contact phone number (470) 469-7136.

The enumeration date for this NPI number is 9/22/2021 and was last updated on 1/28/2023.


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
1174200000XMealsNo
2177F00000XLodgingNo
3261QA0600XClinic/CenterAdult Day CareNo
43104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
5311500000XAlzheimer Center (Dementia Center)No
6311ZA0620XCustodial Care FacilityAdult Care HomeNo
73104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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: 5/5/2024

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