Golden Springs Residencial Treatment Home LLC · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

80 Nw Sleret Ave, Gresham, OR 97030-7030

Overview

Golden Springs Residencial Treatment Home LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (organization) practicing in Gresham, Oregon. The National Provider Identifier (NPI) is #1336026269, which was assigned on August 20, 2025, and the registration record was last updated on August 20, 2025. The practitioner's main practice location is at 80 Nw Sleret Ave, Gresham, OR 97030-7030; the contact telephone number is 2062275993. The primary taxonomy of Golden Springs Residencial Treatment Home LLC is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X). The authorized official for Golden Springs Residencial Treatment Home LLC is Samuel K Kamuga (Owner/Provider).

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider Information

NPI 1336026269
Entity Type Organization
Organization Name GOLDEN SPRINGS RESIDENCIAL TREATMENT HOME LLC
Provider Name GOLDEN SPRINGS RESIDENCIAL TREATMENT HOME LLC
Practice Address 80 Nw Sleret Ave
Gresham
OR 97030-7030
Practice Telephone 2062275993
Mailing Address 80 Nw Sleret Ave
Gresham
OR 97030-7030
Mailing Telephone 2062275993
Certification Date 2025-08-20
Enumeration Date 2025-08-20
Last Update Date 2025-08-20
Is Organization Subpart N

Authorized Official Information

Official Name SAMUEL K KAMUGA
Official Title OWNER/PROVIDER
Telephone 2062275993

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Information

Primary Taxonomy

Code 320900000X
Taxonomy Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Classification Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Grouping Residential Treatment Facilities
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Notes: [7/1/2003: new, 1/1/2021: modified title, modified definition]

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Provider NameAddressTaxonomyEnumeration Date
Faheem Trusting Hands Assisted Living LLC 2605 Chevy Chase Dr, Denton, TX 76207-4740Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-09-05
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Adazah Health Systems Inc 10502 Elders Hollow Dr, Bowie, MD 20721-1838Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-09-06
Beacon of Hope Residences LLC 12168 W Soledad St, El Mirage, AZ 85335-2442Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-08-29
Niya LLC 1201 Nw Williamsburg Ln, Waukee, IA 50263Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-08-25
Cryst Care Homes LLC 10727 Oconnor Rnch, San Antonio, TX 78254-2361Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-09-06
Kc Grouphome.Llc 421 Highland Ct, Oxford, PA 19363-3931Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-09-04
Optimum Medical Group Inc. 7120 Samuel Morse Dr Fl 2, Columbia, MD 21046-3419Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-08-30
Complete Choice Support, LLC 800 E 101st Ter Ste 350, Kansas City, MO 64131-5310Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-08-27
Kcm Residential Care Soultions LLC 30 Prestbury Sq Ste 322, Newark, DE 19713-3237Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-08-28
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Location Information

Street Address 80 NW SLERET AVE
City GRESHAM
State OR
Zip Code 97030-7030
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Michael Robert Martini 21440 Se Stark St, Gresham, OR 97030-2024Addiction (Substance Use Disorder) Counselor2019-03-06
Rebecca Lynn Patterson 21440 Se Stark St, Gresham, OR 97030-2024Peer Specialist2025-08-29
Danielle Quimby Currey 22400 Se Stark St, Suite 104, Gresham, OR 97030-2656Naturopath2013-10-02
Anthony Louie Garcia 21440 Se Stark St, Gresham, OR 97030-2024Peer Specialist2025-02-07
Maria C Hernandez 21343 Se Alder Ct, Gresham, OR 97030-2401Doula2025-03-21
Tp Adara Oaks Operations LLC 931 Linden Ave, Gresham, OR 97030Assisted Living Facility2025-03-25
Susan Goddard Po Box 546, Gresham, OR 97030-0132Community Health Worker2024-01-04
Emma Sornson 21440 Se Stark St, Gresham, OR 97030-2024Addiction (Substance Use Disorder) Counselor2023-10-06
Grant Harmon 24950 Se Stark St, Gresham, OR 97030Radiation Oncology Physician2017-05-12
Acacia In Home Care,Llc 255 Ne 23rd St, Gresham, OR 97030-2721Mental Illness Community Based Residential Treatment Facility2025-05-19
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.