GOLDEN OAK SENIOR SERVICES LLC DBA LEMOYNE PLACE (NPI# 1124668777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124668777 |
| Entity Type | Organization |
| Organization Name | GOLDEN OAK SENIOR SERVICES LLC DBA LEMOYNE PLACE |
| Practice Address |
14306 Lemoyne Blvd Biloxi MS 39532-9760 |
| Practice Telephone | 2283961998 |
| Practice Fax Number | 2283962907 |
| Mailing Telephone | 2283961998 |
| Mailing Fax Number | 2283962907 |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2020-01-12 |
| Authorized Official Name | DEEDY KILLEN (OWNER) |
| Authorized Official Telephone | 2283961998 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | GOLDEN OAK SENIOR SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lemoyne Place | Doing Business As Name - Organization |
| Street Address |
14306 LEMOYNE BLVD |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-9760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841326139 | Coastal Rehab, LLC | Clinic/Center | 14306 Lemoyne Blvd, Biloxi, MS 39532-9760 | 2007-02-23 |
| 1578828331 | Seniors On The Go | Clinic/Center | 14306 Lemoyne Blvd, Biloxi, MS 39532-9760 | 2012-07-09 |
| 1326375882 | Seniors On The Go | Assisted Living Facility | 14306 Lemoyne Blvd, Biloxi, MS 39532-9760 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235473588 | Seashore Oaks Assisted Living | Assisted Living Facility | 1450 Beach Blvd # B, Biloxi, MS 39530-3542 | 2012-11-26 |
| 1063878866 | Bay Cove Assisted Living, LLC | Assisted Living Facility | 680 Bay Cove Dr, Biloxi, MS 39532-5551 | 2016-01-08 |
| 1326375882 | Seniors On The Go | Assisted Living Facility | 14306 Lemoyne Blvd, Biloxi, MS 39532-9760 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558747 | Waymaker Enterprises, LLC | Assisted Living Facility | 204 Bradfield Rd, Madison, MS 39110-7035 | 2020-05-06 |
| 1417508110 | Maxine Delores Harris | Assisted Living Facility | 104 Martin Luther King Blvd, Arcola, MS 38722 | 2019-09-24 |
| 1548819733 | Snh Omiss Tenant LLC | Assisted Living Facility | 1488 Belk Blvd, Oxford, MS 38655-5356 | 2019-09-10 |
| 1457900649 | Snh Omiss Tenant LLC | Assisted Living Facility | 108 Clarington Dr, Southaven, MS 38671-5640 | 2019-09-10 |
| 1972152619 | The Claiborne At Adelaide | Assisted Living Facility | 74 Claiborne Way, Starkville, MS 39759-8544 | 2019-09-05 |
| 1992369102 | James Wilson | Assisted Living Facility | 15986 W Main St, Louisville, MS 39339-2636 | 2019-04-24 |
| 1023519766 | The Blake At Oxford | Assisted Living Facility | 110 Ed Perry Blvd, Oxford, MS 38655-3452 | 2018-02-27 |
| 1194224873 | Barnes Crossing Retirement Community LLC | Assisted Living Facility | 1090 County Road 811, Saltillo, MS 38866-7304 | 2018-02-07 |
| 1649782202 | Garden Hill Assisted Living | Assisted Living Facility | 2082 Yorkville Rd E, Columbus, MS 39702-9406 | 2017-11-03 |
| 1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.