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GOLDEN GATE MANOR 2
NPI 1417462185
Assisted Living Facility in Pueblo, CO

Active since December 04, 2017
1219 LAKE AVE, PUEBLO, CO 81004(719) 369-6290 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Golden Gate Manor 2 NPPES

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

GOLDEN GATE MANOR 2 (NPI 1417462185) is a healthcare organization registered as an assisted living facility in Pueblo, Colorado and active in the NPI registry since December 2017. The organization lists Mark Harriman, President, as its authorized official.

NPPES Registry Identity

NPI1417462185
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOLDEN GATE MANOR INC
Location Address1219 LAKE AVEPueblo, CO 81004-2845
Mailing Address1337 W Abriendo AvePueblo, CO 81004-1005 · (719) 369-6290
Phone(719) 369-6290
Organization SubpartNo
Authorized OfficialMark HarrimanPresident · (719) 369-6290
Enumeration DateDecember 4, 2017
✔ NPI 1417462185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CO · 230654
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.
Also ListedRespite CareTaxonomy 385H00000X · License 230654 (CO)
1219 LAKE AVE, Pueblo, CO 81004
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Other Names 1

Doing Business AsGolden Gate Manor 2

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 Gate Manor Inc's NPI number?

The NPI number for Golden Gate Manor Inc is 1417462185. It was assigned to this organization in the NPPES registry on December 4, 2017. The provider is doing business as Golden Gate Manor 2.

Where is Golden Gate Manor Inc located?

Golden Gate Manor Inc is located at 1219 Lake 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.

When was this NPI record last updated?

The NPPES record for Golden Gate Manor Inc was last updated on December 4, 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.