GOLDEN VALLEY
NPI 1174037006
Assisted Living Facility in Pueblo, CO
About Golden Valley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDEN VALLEY (NPI 1174037006) is a healthcare organization registered as an assisted living facility in Pueblo, Colorado and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Mark Harriman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D2231770
Golden Valley · Pueblo, COFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Golden Gate Manor Inc's NPI number?
The NPI number for Golden Gate Manor Inc is 1174037006. It was assigned to this organization in the NPPES registry on November 30, 2017. The provider is doing business as Golden Valley.
Where is Golden Gate Manor Inc located?
Golden Gate Manor Inc is located at 1033 E Evans Ave, Pueblo, CO 81004. The listed phone number is (719) 369-6290.
What is Golden Gate Manor Inc's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Golden Gate Manor Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2231770) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Golden Gate Manor Inc was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Golden Valley · NPI 1174037006
Assisted Living Facility organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since November 30, 2017.
## Identity
- **NPI:** 1174037006 (Entity type: Organization)
- **Enumerated:** November 30, 2017
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Golden Gate Manor Inc
- **Organization subpart:** No
- **Authorized official:** Mark Harriman, PRESIDENT
## Practice location
- **Address:** 1033 E EVANS AVE, Pueblo, CO 81004-2538
- **Phone:** (719) 369-6290
## Record status
- **NPPES last updated:** November 30, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174037006) · Data from the CMS NPPES public registry.