GOLDEN PEAK SENIOR LIVING CORP


Address: 411 Edmond St, Calhoun, GA 30701-5334
Phone: 4704697136

GOLDEN PEAK SENIOR LIVING CORP (NPI# 1679174429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679174429
Entity Type Organization
Organization Name GOLDEN PEAK SENIOR LIVING CORP
Practice Address 411 Edmond St
Calhoun
GA 30701-5334
Practice Telephone 4704697136
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Authorized Official Name ANNIE LUM (ADMINISTRATOR)
Authorized Official Telephone 4704697136
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Office Location

Street Address 411 EDMOND ST
City CALHOUN
State GA
Zip Code 30701-5334

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NPI Name Taxonomy Address Enumeration
1346856853 Mahaly H Ashley Counselor 367 Richardson Rd, Calhoun, GA 30701 2020-09-21
1639714140 Alexis Mann Counselor 629 Harkins Street, Calhoun, GA 30701 2019-11-08
1649812322 K -va -t Food Stores Inc Durable Medical Equipment & Medical Supplies 225 Lovers Lane, Calhoun, GA 30701 2019-10-14
1225679186 Alexandra Halleck Physical Therapy Assistant 1387 Hwy 41 N, Calhoun, GA 30701 2019-10-02
1508325432 Angela Munyan Chin Nurse Practitioner 1754 Everett Springs Rd Ne, Calhoun, GA 30701 2019-03-19
1548745342 Gacalhoun Snf LLC Skilled Nursing Facility 1387 Highway 41 N., Calhoun, GA 30701 2018-09-27
1568990018 Katherine Ann Hayes Physical Therapy Assistant Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 2017-05-30
1639566508 Moslem Eskandari Pharmacist 1101 Red Bud Rd, Calhoun, GA 30701 2015-04-18
1366882367 Stella P. Bonner Dentist 500 South Wall St., Calhoun, GA 30701 2013-07-05
1417393885 New Serenity Inc Clinic/Center 1321 Hwy 41 N, Calhoun, GA 30701 2013-05-13
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679174437 United Hands Support Services Custodial Care Facility 735 Ridge Rd, Canton, GA 30114-4170 2020-11-06
1023615531 Lillian Womble Custodial Care Facility 3232 Union Church Road, Warthen, GA 31094 2020-10-07
1750995155 Jacqueline Dingle Custodial Care Facility 604 Sugarbush Cir, Savannah, GA 31406-4434 2020-09-02
1114549763 Idella's Angels Custodial Care Facility 270 13th Ave Sw, Cairo, GA 39828-3423 2020-05-16
1356962062 Brendas Love Personal Care Home LLC Custodial Care Facility 8239 Queens Dr, Jonesboro, GA 30238-2946 2020-05-04
1801421094 Lj's Personal Care Home, LLC Custodial Care Facility 415 E 18th St Sw, Rome, GA 30161-6544 2020-03-08
1356984041 Manuel Carl Mckenzie IIi Custodial Care Facility 4893 Candlewood Ln, Stone Mountain, GA 30088-1605 2019-10-24
1457904310 Renaissance Healthcare LLC Custodial Care Facility 419 Airport Rd, Griffin, GA 30224-4834 2019-07-19
1225697873 Tahirah Johnston Custodial Care Facility 1657 Hallmark Hills Dr, Griffin, GA 30223-8790 2019-06-07
1508420613 Rosa Amanda Hill Custodial Care Facility 1073 Davis Rd, Culloden, GA 31016-5843 2019-04-24
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Competitor

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City CALHOUN
Zip Code 30701

Improve Information

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Dataset Information

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.

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