1. Home
  2. Directory
  3. South Dakota
  4. Lead
  5. Custodial Care Facility
  6. NPI Profile

GOLDEN RIDGE ASSITED LIVING
NPI 1336816222
Custodial Care Facility - Adult Care Home in Lead, SD

Active since August 27, 2021
200 MONTANA AVE, LEAD, SD 57754(605) 639-0115 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Golden Ridge Assited Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN RIDGE ASSITED LIVING (NPI 1336816222) is a healthcare organization registered as an adult care home in Lead, South Dakota and active in the NPI registry since August 2021. The organization lists Robert Bagdon, Coo, as its authorized official.

NPPES Registry Identity

NPI1336816222
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameGOLDEN RIDGE ASSITED LIVING
Location Address200 MONTANA AVELead, SD 57754-1051
Mailing Address200 Montana AveLead, SD 57754-1051
Phone(605) 639-0115
Organization SubpartNo
Authorized OfficialRobert BagdonCoo · (724) 961-6061
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1336816222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
200 MONTANA AVE, Lead, SD 57754
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGIONAL HEALTH NETWORK INC
Assisted Living Facility
200 MONTANA AVE
LEAD, SD 57754
Lawrence County (605) 722-6380
GOLDEN RIDGE VENTURES LLC
Assisted Living Facility
200 MONTANA AVE
LEAD, SD 57754
Lawrence County (605) 722-6380

Frequently 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 Ridge Assited Living's NPI number?

The NPI number for Golden Ridge Assited Living is 1336816222. It was assigned to this organization in the NPPES registry on August 27, 2021.

Where is Golden Ridge Assited Living located?

Golden Ridge Assited Living is located at 200 Montana Ave, Lead, SD 57754. The listed phone number is (605) 639-0115.

What is Golden Ridge Assited Living's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Golden Ridge Assited Living was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.