GOLDEN GATE MANOR INC (NPI# 1376057414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376057414 |
| Entity Type | Organization |
| Organization Name | GOLDEN GATE MANOR INC |
| Other Organization Name | GOLDEN HORIZON |
| Practice Address |
525 W 9th St Pueblo CO 81003-2917 |
| Mailing Address |
1337 W Abriendo Ave Pueblo CO 81004-1005 |
| Practice Telephone | 7193696290 |
| Mailing Telephone | 7195640344 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Authorized Official Name | MARK HARRIMAN (PRESIDENT) |
| Authorized Official Telephone | 7193696290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | 230664 | CO | Respite Care Facility |
| Y | 310400000X | Assisted Living Facility | 230664 | CO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| GOLDEN HORIZON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462185 | Golden Gate Manor Inc | Respite Care | 1219 Lake Ave, Pueblo, CO 81004-2845 | 2017-12-04 |
| 1174037006 | Golden Gate Manor Inc | Respite Care | 1033 E Evans Ave, Pueblo, CO 81004-2538 | 2017-11-30 |
| 1821502964 | Golden Gate Manor Inc | Respite Care | 2109 Chautard Dr, Pueblo, CO 81005-2612 | 2017-11-28 |
| Street Address |
525 W 9TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871833442 | Josh Aguilar | Counselor | 525 W 9th St, Pueblo, Pueblo, CO 81003-2917 | 2013-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| 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 |
|---|---|---|---|---|
| 1225512619 | The Citadel Alzheimers and Dementia Assisted Living | Assisted Living Facility | 431 Quincy St, Pueblo, CO 81004-2027 | 2018-09-20 |
| 1871084574 | Greenwood Manor Inc | Assisted Living Facility | 421 W 11th St, Pueblo, CO 81003-2806 | 2018-05-29 |
| 1578927042 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 4723 Surfwood Ln, Pueblo, CO 81005-4627 | 2016-04-11 |
| 1003273053 | Villa Grove Assisted Living Home | Assisted Living Facility | 715 E B St, Pueblo, CO 81003-3504 | 2016-01-21 |
| 1356712129 | Oakshire Gardens | Assisted Living Facility | 2400 Oakshire Ln, Pueblo, CO 81001-5653 | 2015-10-19 |
| 1033580808 | Trinity Life Gardens | Assisted Living Facility | 2430 Oakshire Ln, Pueblo, CO 81001-5655 | 2015-10-19 |
| 1336510114 | North Pointe Gardens | Assisted Living Facility | 3777 Parker Blvd, Pueblo, CO 81008-2218 | 2015-10-19 |
| 1285030072 | Rock Canyon Healthcare, Inc. | Assisted Living Facility | 1611 Alma Ave, Pueblo, CO 81004-2609 | 2014-11-06 |
| 1669807731 | 1111 Bonforte Opco, LLC | Assisted Living Facility | 855 Hunter Dr, Pueblo, CO 81001-1867 | 2013-09-09 |
| 1831312339 | Golden Gate Manor | Assisted Living Facility | 606 W Abriendo Ave, Pueblo, CO 81004-1545 | 2007-04-11 |
| Find all providers in PUEBLO | ||||
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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.