Provider Demographics
NPI:1376346742
Name:GOLDEN HOUSE RESIDENCE LLC
Entity type:Organization
Organization Name:GOLDEN HOUSE RESIDENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YUSUF
Authorized Official - Middle Name:
Authorized Official - Last Name:KARATAS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:203-508-3683
Mailing Address - Street 1:21 VIA ALTA VIS
Mailing Address - Street 2:
Mailing Address - City:BONSALL
Mailing Address - State:CA
Mailing Address - Zip Code:92003-4020
Mailing Address - Country:US
Mailing Address - Phone:760-295-4141
Mailing Address - Fax:760-295-4151
Practice Address - Street 1:21 VIA ALTA VIS
Practice Address - Street 2:
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003-4020
Practice Address - Country:US
Practice Address - Phone:203-606-9547
Practice Address - Fax:760-295-4151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility