LIMITED LIABILITY COMPANY (LLC)
NPI 1396390811
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gorham, ME

Q: What is Golden Group Home Services, LLC's NPI number?

The NPI number for Golden Group Home Services, LLC is 1396390811. It was assigned to this organization in the NPPES registry on August 2, 2019. The provider is also known as Limited Liability Company (llc).

Q: What is Golden Group Home Services, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since August 02, 2019

28 STATE ST STE 4, GORHAM, ME 04038(207) 415-5393 Get Directions Write a Review

NPPES record last updated: May 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 31, 2021, Aug 2, 2019 (2 updates tracked since 2019).

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About Limited Liability Company (llc) NPPES

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

LIMITED LIABILITY COMPANY (LLC) (NPI 1396390811) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Gorham, Maine and active in the NPI registry since August 2019. The organization lists Michel Kanyambo, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1396390811

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameGOLDEN GROUP HOME SERVICES, LLC

Location Address28 STATE ST STE 4Gorham, ME 04038-1147

Mailing Address28 State St Ste 4Gorham, ME 04038-1147 · (207) 415-5393

Phone(207) 415-5393

Organization SubpartNo

Authorized OfficialMichel KanyamboChief Executive Officer · (207) 415-5393

Enumeration DateAugust 2, 2019

Last NPPES UpdateMay 31, 20212 updates tracked since enumeration

NPPES CertifiedMay 31, 2021

✔ NPI 1396390811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

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

28 STATE ST STE 4, Gorham, ME 04038

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Other Names 1

Other NameLimited Liability Company (llc)

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 Group Home Services, LLC's NPI number?

The NPI number for Golden Group Home Services, LLC is 1396390811. It was assigned to this organization in the NPPES registry on August 2, 2019. The provider is also known as Limited Liability Company (llc).

Where is Golden Group Home Services, LLC located?

Golden Group Home Services, LLC is located at 28 State St Ste 4, Gorham, ME 04038. The listed phone number is (207) 415-5393.

What is Golden Group Home Services, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Golden Group Home Services, LLC was last updated on May 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.