Provider Demographics
NPI:1265086714
Name:GOLDEN VIEW GUEST HOME, INC.
Entity type:Organization
Organization Name:GOLDEN VIEW GUEST HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:K
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR CERTIF
Authorized Official - Phone:951-849-7521
Mailing Address - Street 1:P. O. BOX 726
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-3513
Mailing Address - Country:US
Mailing Address - Phone:951-849-7521
Mailing Address - Fax:951-849-9362
Practice Address - Street 1:3863 WEST RAMSEY STREET
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-3513
Practice Address - Country:US
Practice Address - Phone:951-849-7521
Practice Address - Fax:951-849-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility