Organization
GOLDEN GATE MANOR INC
Active
Organization
GOLDEN GATE MANOR INC
Active
Other names
GOLDEN GATE MANOR 2
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HARRIMAN (PRESIDENT)
(719) 369-6290
Entity
Organization
Contact information
Practice address
1219 LAKE AVE, PUEBLO, CO 81004-2845
(719) 369-6290
Mailing address
1337 W ABRIENDO AVE, PUEBLO, CO 81004-1005
(719) 369-6290
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
230654
CO
385H00000X
Respite Care
230654
CO
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up