Golden Manor Assisted Living Facility LLC
NPI 1396358792ActiveOrganization· Assisted Living Facility· Lake City, FL
Assisted Living Facility in Lake City, Florida, registered in NPPES in August 2020. The authorized official on file is Mardell Jackson, Administrator.
Overview
| NPI | 1396358792 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2020 |
| Last updated in NPPES | Aug 25, 2020 |
| Certified by provider | Aug 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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