GOLDEN LAKE CARE HOME (NPI# 1568968733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568968733 |
| Entity Type | Organization |
| Organization Name | GOLDEN LAKE CARE HOME |
| Other Organization Name | MAIDE LLC |
| Practice Address |
9719 Tumble Lake Ct Las Vegas NV 89147-6749 |
| Practice Telephone | 7027551800 |
| Mailing Telephone | 7027551800 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | SOKHENA K HUCH (EMPLOYEE/AGENT) |
| Authorized Official Telephone | 7027551800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 7557-AGC-7 | NV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 9005057599 | 05 |
| Other Name | Type Code |
|---|---|
| maide llc | Doing Business As Name - Organization |
| Street Address |
9719 TUMBLE LAKE CT |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-6749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| 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 |
|---|---|---|---|---|
| 1215552468 | Aloho Paradise Care LLC | Assisted Living Facility | 1809 Westwind Rd, Las Vegas, NV 89146-0304 | 2020-06-13 |
| 1740803857 | Arlene Rochalski | Assisted Living Facility | 4460 Marlena Cir, Las Vegas, NV 89108-2004 | 2020-05-22 |
| 1528680725 | Nevada Memory Care & Assisted Living Centers LLC | Assisted Living Facility | 2299 Montessouri St, Las Vegas, NV 89117-2813 | 2020-05-11 |
| 1386279164 | Mindful Caring LLC | Assisted Living Facility | 3940 Waterford Ln, Las Vegas, NV 89119-0842 | 2020-03-11 |
| 1083248892 | St Jeremiah LLC | Assisted Living Facility | 3918 Cherokee Ave E, Las Vegas, NV 89121-4511 | 2020-03-02 |
| 1184261984 | Best Care Inc. | Assisted Living Facility | 3212 El Camino Rd, Las Vegas, NV 89146-6624 | 2019-11-30 |
| 1194360040 | Addison Holdings, Inc. | Assisted Living Facility | 9651 Trattoria St, Las Vegas, NV 89178-8262 | 2019-11-14 |
| 1447891528 | Quality Care 4 Seniors LLC | Assisted Living Facility | 4369 Adelphi Ave, Las Vegas, NV 89120-2136 | 2019-09-30 |
| 1043863822 | Gge Enterprises LLC Sunshine Care Home I&ii | Assisted Living Facility | 3045 S Tioga Way, Las Vegas, NV 89117-3218 | 2019-07-20 |
| 1225699770 | Maide LLC | Assisted Living Facility | 1505 Duneville St, Las Vegas, NV 89146-1269 | 2019-06-25 |
| Find all providers in LAS VEGAS | ||||
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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.