GOLDEN HORIZON
NPI 1821502964
Assisted Living Facility in Pueblo, CO

Active since November 28, 2017CLIA 06D2231767 · Waiver
2109 CHAUTARD DR, PUEBLO, CO 81005(719) 369-6290 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Golden Horizon NPPES

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

GOLDEN HORIZON (NPI 1821502964) is a healthcare organization registered as an assisted living facility in Pueblo, Colorado and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Mark Harriman, President, as its authorized official.

NPPES Registry Identity

NPI1821502964
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOLDEN GATE MANOR INC
Location Address2109 CHAUTARD DRPueblo, CO 81005-2612
Mailing Address1337 W Abriendo AvePueblo, CO 81004-1005 · (719) 564-0344
Organization SubpartNo
Authorized OfficialMark HarrimanPresident · (719) 369-6290
Enumeration DateNovember 28, 2017
NPI 1821502964 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 · 230663
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 230663 (CO)
2109 CHAUTARD DR, Pueblo, CO 81005

Other Names 1

Doing Business AsGolden Horizon

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2231767

Golden Horizons · Pueblo, CO
Active · expires Aug 4, 2027
CLIA Number06D2231767
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorJoseph Mendoza
Laboratory Phone(719) 583-9132
Laboratory LocationGolden Horizons2109 Chautard, Pueblo, CO 81005
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Counselor
2109 CHAUTARD DR
PUEBLO, CO 81005

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 1821502964. It was assigned to this organization in the NPPES registry on November 28, 2017. The provider is doing business as Golden Horizon.

Where is Golden Gate Manor Inc located?

Golden Gate Manor Inc is located at 2109 Chautard Dr, Pueblo, CO 81005. 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.

Does Golden Gate Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2231767) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden Gate Manor Inc was last updated on November 28, 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.