GOLDEN RETREAT ASSISTED LIVING (NPI# 1578884714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578884714 |
| Entity Type | Organization |
| Organization Name | GOLDEN RETREAT ASSISTED LIVING |
| Practice Address |
673 Highland Way Hagerstown MD 21740-6287 |
| Practice Telephone | 3013933609 |
| Practice Fax Number | 3013938045 |
| Mailing Telephone | 3013933609 |
| Mailing Fax Number | 3013938045 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | MS. PAULETTE MARIAN CROCKETT (OWNER/MANAGER) |
| Authorized Official Telephone | 3013933609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 21ALOO95-A | MD | Nursing & Custodial Care Facilities |
| Street Address |
673 HIGHLAND WAY |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-6287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| 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 |
|---|---|---|---|---|
| 1265827448 | Greenfield of Hagerstown LLC | Assisted Living Facility | 310 Cameo Dr, Hagerstown, MD 21740-5854 | 2015-04-03 |
| 1023397965 | Cj's Senior Care, Inc. | Assisted Living Facility | 145 King St, Hagerstown, MD 21740-5732 | 2011-08-10 |
| 1740343698 | Hagerstown Heritage Partners, LLC | Assisted Living Facility | 10116 Sharpsburg Pike, Hagerstown, MD 21740 | 2006-12-19 |
| 1659431567 | Hagerstown Heritage Partners, LLC | Assisted Living Facility | 10114 Sharpsburg Pike, Hagerstown, MD 21740 | 2006-12-11 |
| 1023075389 | Diakon Lutheran Senior Living - Maryland LLC | Assisted Living Facility | 19800 Tranquility Cir, Hagerstown, MD 21742-4042 | 2006-04-28 |
| 1679121289 | Snh Md Tenant LLC | Assisted Living Facility | 10114 Sharpsburg Pike, Hagerstown, MD 21740-1320 | 2019-08-27 |
| 1942857941 | Snh Md Tenant LLC | Assisted Living Facility | 10116 Sharpsburg Pike, Hagerstown, MD 21740-1308 | 2019-08-23 |
| 1144886458 | Emeritol Lo Hagerstown | Assisted Living Facility | 20009 Rosebank Way, Hagerstown, MD 21742-6739 | 2019-05-13 |
| 1376109819 | Ec Opco Hagerstown, LLC | Assisted Living Facility | 1175 Professional Ct, Hagerstown, MD 21740-5906 | 2019-05-09 |
| 1457496044 | Emeritus Corporation | Assisted Living Facility | 20009 Rosebank Way, Hagerstown, MD 21742 | 2007-02-21 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on GOLDEN RETREAT ASSISTED LIVING.
| 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.