Healthcare Provider Details

I. General information

NPI: 1265320394
Provider Name (Legal Business Name): GOLDEN CARE THERAPY MINNESOTA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 FORD PKWY # 5259
SAINT PAUL MN
55116-2850
US

IV. Provider business mailing address

4770 WHITE PLAINS RD
BRONX NY
10470-1136
US

V. Phone/Fax

Practice location:
  • Phone: 218-225-8785
  • Fax: 732-810-0385
Mailing address:
  • Phone: 732-730-0700
  • Fax: 732-810-0385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AKIVA TOPPER
Title or Position: COO
Credential:
Phone: 732-730-0700