GOLDEN GATE MANOR INC NPI 1376057414

NPI Information

NPI: 1376057414
Provider Name: GOLDEN GATE MANOR INC

Doing Business As: GOLDEN HORIZON

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
525 W 9TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 369-6290
Get Directions

GOLDEN GATE MANOR INC is an assisted living facility in Pueblo, CO. 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 GATE MANOR INC NPI is 1376057414. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden Horizon.

The provider's business location address is:

525 W 9TH ST
PUEBLO, CO
ZIP 81003-917
Phone: (719) 369-6290

The provider's authorized official is Mark Harriman .
The authorized official title is President and has the following contact phone number (719) 369-6290.

The enumeration date for this NPI number is 11/28/2017 and was last updated on 11/28/2017.

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		230664	COLORADO	Yes
2	385H00000X	Respite Care		230664	COLORADO	No

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: 4/28/2024

NPI Synchronization or Removal

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