Healthcare Provider Details

I. General information

NPI: 1356435564
Provider Name (Legal Business Name): GOLDEN VIEW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6526 W BLUEMOUND RD
MILWAUKEE WI
53213-4064
US

IV. Provider business mailing address

19913 SPRING ST
UNION GROVE WI
53182-9710
US

V. Phone/Fax

Practice location:
  • Phone: 414-453-3606
  • Fax: 414-453-3670
Mailing address:
  • Phone: 262-989-5382
  • Fax: 414-258-1497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateWI

VIII. Authorized Official

Name: MARY LOUISE FILLER
Title or Position: OWNER
Credential:
Phone: 126-298-9538