Golden Group Home Services, LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (organization) practicing in Gorham, Maine. The National Provider Identifier (NPI) is #1396390811, which was assigned on August 2, 2019, and the registration record was last updated on May 31, 2021. The practitioner's main practice location is at 28 State St Ste 4, Gorham, ME 04038-1147; the contact telephone number is 2074155393. The primary taxonomy of Golden Group Home Services, LLC is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X). The authorized official for Golden Group Home Services, LLC is Mr. Michel Kanyambo (Chief Executive Officer).
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
| NPI | 1396390811 |
| Entity Type | Organization |
| Organization Name | GOLDEN GROUP HOME SERVICES, LLC |
| Provider Name | GOLDEN GROUP HOME SERVICES, LLC |
| Other Organization Name |
LIMITED LIABILITY COMPANY (LLC) (Other Name) |
| Other Name | LIMITED LIABILITY COMPANY (LLC) |
| Practice Address |
28 State St Ste 4 Gorham ME 04038-1147 |
| Practice Telephone | 2074155393 |
| Mailing Address |
28 State St Ste 4 Gorham ME 04038-1147 |
| Mailing Telephone | 2074155393 |
| Certification Date | 2021-05-31 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2021-05-31 |
| Is Organization Subpart | N |
| Official Name | MR. MICHEL KANYAMBO |
| Official Title | CHIEF EXECUTIVE OFFICER |
| Telephone | 2074155393 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Other Organization Name | Type |
|---|---|
| LIMITED LIABILITY COMPANY (LLC) | Other Name |
| 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] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Aaa Rose Garden Home LLC | 14631 Richmond Ave Apt 435, Houston, TX 77082-1696 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-03 |
| Adorable Options | 1332 Londontown Blvd Ste 15f, Eldersburg, MD 21784-6587 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-02 |
| Caring Minds Behavioral Health LLC | 7428 E Hannibal St, Mesa, AZ 85207-4829 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-03 |
| Elite Access & Renovations, LLC | 1335 Redwood Dr, Saint Clair, MO 63077-2018 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-03 |
| Advancing Opportunities, Inc. | 105 Heritage Ct, Pennington, NJ 08534-5286 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-02 |
| Compassionate Connections Sponsored Residential Services LLC | 161 Tallyho Rd, Concord, VA 24538-2285 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-05 |
| Acorncare Hcs LLC | 11999 Katy Freeway, Ste 150-O, Houston, TX 77079 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-05 |
| The Home Farms Residential Services, LLC | 4071 Paint Creek 4 Mile Rd, Camden, OH 45311-9757 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-02 |
| Abbacy Care of Arkansas, Inc. | 2604 Garden Bend Dr, Benton, AR 72015-6037 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-04 |
| Rha Health Services Nj LLC | 78 Clove Rd, Montague, NJ 07827-3411 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2024-04-01 |
| Find all providers with the same taxonomy | |||
| Street Address |
28 STATE ST STE 4 |
| City | GORHAM |
| State | ME |
| Zip Code | 04038-1147 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Denise Merrill | 28 State St Ste 5, Gorham, ME 04038-1147 | Mental Health Counselor | 2022-03-28 |
| Remedies Np, LLC | 28 State St Ste 5, Gorham, ME 04038-1147 | Psychiatric/Mental Health Nurse Practitioner | 2023-12-13 |
| The Integrated Life | 28 State St Ste 5, Gorham, ME 04038-1147 | Counselor | 2022-08-12 |
| Abigail Laplante | 28 State St Ste 5, Gorham, ME 04038-1147 | Case Manager/Care Coordinator | 2022-08-03 |
| Jamie Racine · Embrace The Extra | 28 State St Ste 5, Gorham, ME 04038-1147 | Community/Behavioral Health Agency | 2021-07-06 |
| The Integrated Life | 28 State St Ste 5, Gorham, ME 04038-1147 | Case Management Agency | 2022-04-12 |
| Sandra Elaine Jose | 28 State St Ste 5, Gorham, ME 04038-1147 | Social Worker | 2022-02-28 |
| Nicole Butler | 28 State St Ste 5, Gorham, ME 04038-1147 | Mental Health Counselor | 2023-08-21 |
| Michelle L Inman Carlson | 28 State St Ste 5, Gorham, ME 04038-1147 | Clinical Social Worker | 2023-01-03 |
| Jamie L Racine | 28 State St Ste 5, Gorham, ME 04038-1147 | Mental Health Counselor | 2013-01-03 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Robert Lawrence Lavoie | 8 Elm St., Gorham, ME 04038 | Chiropractor | 2006-10-11 |
| Regina P Marsters · Regina Marsters | 53 County Rd, Gorham, ME 04038 | Mental Health Counselor | 2010-10-21 |
| Helping Hearts Home Care | 46 Farrington Rd, Gorham, ME 04038 | Home Health Agency | 2017-09-27 |
| The Family Center of Maine | 77 Rr Ave Suite 317, Gorham, ME 04038 | Clinical Social Worker | 2021-09-20 |
| Southern Maine Pediatric Therapies, PLLC | 14 Murray Drive, Gorham, ME 04038 | Occupational Therapist | 2012-11-26 |
| Jennifer Lee Cowing | 81 Main Street Saco Bay Pt, Gorham, ME 04038 | Physical Therapist | 2023-06-26 |
| Justin Brown | 510 Main St. Gorham, Me 04038, Gorham, ME 04038 | Counselor | 2019-09-09 |
| Diane Marie Pierce | 8 Elm Street, Gorham, ME 04038 | Massage Therapist | 2011-07-06 |
| Victor Liberi | 33 College Ave., University of So. Maine, Gorham, ME 04038 | Athletic Trainer | 2007-02-20 |
| Brian Youth | 347 Main St., Gorham, ME 04038 | Pediatrics Physician | 2006-10-03 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Citadel Home Healthcare Limited Liability Company | 2111 Sunbriar Ln Unit B, Gwynn Oak, MD 21207-5987 | Home Health Registered Nurse | 2023-08-25 |
| Diversity Union Group Home Limited Liability Company | 2810 James Ave N, Minneapolis, MN 55411-1239 | Home Health Agency | 2021-01-27 |
| Rescue One Home Care Limited Liability Company | 6876 Riverdale Rd Apt 344, Lanham, MD 20706-1066 | In Home Supportive Care Agency | 2019-04-12 |
| Sabra Home Health Limited Liability Company | 2044 Reddenson Dr, Carrollton, TX 75010-3209 | Home Health Agency | 2012-11-21 |
| Texas Kids Home Therapy Professional Limited Liability Company | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | Home Health Agency | 2011-08-21 |
| Sf Home Care Limited Liability Company | 27911 Crown Lake Blvd Ste 215, Bonita Springs, FL 34135-4218 | Home Health Agency | 2020-07-24 |
| Chateau Home Services Limited Liability Company | 6454 26th St N, Oakdale, MN 55128-3506 | Clinic/Center | 2021-12-23 |
| Golden Age Mnagement Company, LLC · Golden Age Manor Nursing Home | 704 E Dobkins St, Dublin, TX 76446-2419 | Skilled Nursing Facility | 2006-06-04 |
| Home Care Advocate, Limited Liability Company | 1695 Parkline Dr Apt 2, Pittsburgh, PA 15227-1650 | In Home Supportive Care Agency | 2017-08-17 |
| Pennsylvania Home Health Services Limited Liability Company | 2236 S 62nd St, Philadelphia, PA 19142-2301 | In Home Supportive Care Agency | 2023-08-15 |
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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 |
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. |