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GOLDEN HARBOR
NPI 1831486448
Assisted Living Facility in Sheboygan, WI

Active since July 03, 2011CLIA 52D2005750 · Waiver
505 S WATER ST, SHEBOYGAN, WI 53081(262) 470-5388 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Golden Harbor NPPES

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

GOLDEN HARBOR (NPI 1831486448) is a healthcare organization registered as an assisted living facility in Sheboygan, Wisconsin and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists John Teresinski, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1831486448
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOLDEN HARBOR, LLC
Location Address505 S WATER STSheboygan, WI 53081-4429
Mailing Address2448 S 102nd St Ste 305West Allis, WI 53227-2141 · (414) 940-6608
Phone(262) 470-5388
Organization SubpartNo
Authorized OfficialJohn TeresinskiManaging Director · (414) 940-6608
Enumeration DateJuly 3, 2011
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1831486448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
505 S WATER ST, Sheboygan, WI 53081
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Other Names 1

Doing Business AsGolden Harbor

Other Identifiers 1

Other0013780WI · Wisconsin Dhs

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 52D2005750

Golden Harbor · Sheboygan, WI
Active · expires Apr 4, 2028
CLIA Number52D2005750
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMissy Bloomhuff
Laboratory Phone(920) 451-6923
Laboratory LocationGolden Harbor505 S Water St, Sheboygan, WI 53081
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.

OSL 505 SHEBOYGAN OPERATING LLC
Assisted Living Facility
505 S WATER ST
SHEBOYGAN, WI 53081
Sheboygan County (920) 451-6923

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 Harbor, LLC's NPI number?

The NPI number for Golden Harbor, LLC is 1831486448. It was assigned to this organization in the NPPES registry on July 3, 2011. The provider is doing business as Golden Harbor.

Where is Golden Harbor, LLC located?

Golden Harbor, LLC is located at 505 S Water St, Sheboygan, WI 53081. The listed phone number is (262) 470-5388.

What is Golden Harbor, LLC's specialty?

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

Does Golden Harbor, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2005750) is associated with this NPI, valid through April 4, 2028. 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 Harbor, LLC was last updated on April 27, 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.