Golden Manor Assisted Living Facility LLC
NPI 1396358792 · Assisted Living Facility · Lake City, FL
Golden Manor Assisted Living Facility LLC is a Assisted Living Facility organization in Lake City, FL (NPI 1396358792).
Provider details
- NPI number
- 1396358792
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mardell Jackson, Administrator(386) 697-9425
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-25
- Last updated
- 2020-08-25
- Certified
- 2020-08-25
Frequently asked questions
- What is Golden Manor Assisted Living Facility LLC's NPI number?
- Golden Manor Assisted Living Facility LLC's National Provider Identifier (NPI) is 1396358792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Golden Manor Assisted Living Facility LLC?
- Golden Manor Assisted Living Facility LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Golden Manor Assisted Living Facility LLC located?
- Golden Manor Assisted Living Facility LLC's practice location on file with NPPES is 197 Nw Gwen Lake Ave, Lake City, FL 32055-3711.
- What is Golden Manor Assisted Living Facility LLC's phone number?
- The practice phone number listed in the NPPES registry for Golden Manor Assisted Living Facility LLC is (386) 697-9425.
- Who is the authorized official for Golden Manor Assisted Living Facility LLC?
- The authorized official listed on Golden Manor Assisted Living Facility LLC's NPPES record is Mardell Jackson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Golden Manor Assisted Living Facility LLC's NPI active?
- Yes — Golden Manor Assisted Living Facility LLC's NPI (1396358792) is active in the NPPES registry as of the last update on 2020-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.