Provider Demographics
NPI:1144756941
Name:GOLDEN BEGINNINGS LLC
Entity Type:Organization
Organization Name:GOLDEN BEGINNINGS LLC
Other - Org Name:NONNA'S GUEST HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:VIENNA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-505-8585
Mailing Address - Street 1:2602 OSTROM AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1601
Mailing Address - Country:US
Mailing Address - Phone:562-505-8585
Mailing Address - Fax:
Practice Address - Street 1:3334 CLARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1741
Practice Address - Country:US
Practice Address - Phone:562-505-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198204824310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility