GOLDEN RESIDENTIAL FACILITY
NPI 1407203185
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kalamazoo, MI

Active since May 23, 2016
1912 CAMBRIDGE DR, KALAMAZOO, MI 49001(269) 254-8004 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About GOLDEN RESIDENTIAL FACILITY

This page provides the complete NPI Profile along with additional information for Golden Residential Facility, a provider established in Kalamazoo, Michigan operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1407203185 assigned on May 2016. The practitioner's primary taxonomy code is 320900000X with license number AS390376802 (MI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Saundra Williams-sulaiman (Administrator)

NPI
1407203185 Verify this NPI
Provider Name
GOLDEN RESIDENTIAL FACILITY
Entity Type
Organization
Location Address
1912 CAMBRIDGE DR KALAMAZOO, MI 49001
Location Phone
(269) 254-8004
Mailing Address
1912 CAMBRIDGE DR KALAMAZOO, MI 49001
Mailing Phone
(269) 254-8004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2016
Last Update Date
05-23-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
AS390376802
License State
MI
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SAUNDRA WILLIAMS-SULAIMAN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(269) 267-6599

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AS390376802OTHER (01)MILICENSE NUMBER

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407203185, enumerated as an "organization" on May 23, 2016.

The provider is located at 1912 CAMBRIDGE DR KALAMAZOO, MI 49001 and the phone number is (269) 254-8004.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.