GOLD STAR ASSISTED LIVING
NPI 1396960993
Assisted Living Facility in Canton, TX

Q: What is Gold Star Assisted Living's NPI number?

The NPI number for Gold Star Assisted Living is 1396960993. It was assigned to this organization in the NPPES registry on April 17, 2007.

Q: What is Gold Star Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 17, 2007

503 W HIGHWAY 243, CANTON, TX 75103(903) 567-2762(903) 567-2237 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Gold Star Assisted Living NPPES

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

GOLD STAR ASSISTED LIVING (NPI 1396960993) is a healthcare organization registered as an assisted living facility in Canton, Texas and active in the NPI registry since April 2007. The organization lists Jerry Lynn Tidwell, Manager, as its authorized official.

NPPES Registry Identity

NPI1396960993

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGOLD STAR ASSISTED LIVING

Location Address503 W HIGHWAY 243Canton, TX 75103-2113

Mailing AddressPo Box 1090Canton, TX 75103-7090 · (903) 567-2762 · Fax (309) 567-2237

Phone(903) 567-2762

Fax(903) 567-2237

Organization SubpartNo

Authorized OfficialJerry Lynn TidwellManager · (903) 567-2762

Enumeration DateApril 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1396960993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in TX · 030299

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

503 W HIGHWAY 243, Canton, TX 75103

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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 Gold Star Assisted Living's NPI number?

The NPI number for Gold Star Assisted Living is 1396960993. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Gold Star Assisted Living located?

Gold Star Assisted Living is located at 503 W Highway 243, Canton, TX 75103. The listed phone number is (903) 567-2762.

What is Gold Star Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Gold Star Assisted Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.