Golden Gate Manor 2

LBN: Golden Gate Manor Inc
Golden Gate Manor 2 is an health care organization with primary practice located at 1219 Lake Ave , Pueblo CO 81004-2845. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Golden Gate Manor Inc can be contacted via phone (719) 369-6290, or through Harriman, Mark via phone (719) 369-6290.

Contact Information

Primary practice address
1219 Lake Ave Pueblo CO 81004-2845
Phone: (719) 369-6290
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harriman, Mark
Phone: (719) 369-6290

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 230654 Colorado
Respite Care Facility / Respite Care 385H00000X 230654 Colorado

Profile Details

NPI number 1417462185
LBN Legal business name Golden Gate Manor Inc
DBA Doing business as Golden Gate Manor 2
Authorized official Harriman, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2017
Last updated Dec 4th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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