Provider Demographics
NPI:1881586915
Name:GOLDEN PATH LIVING
Entity type:Organization
Organization Name:GOLDEN PATH LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTED LIVING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JETER-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-435-8549
Mailing Address - Street 1:1305 SHERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2225
Mailing Address - Country:US
Mailing Address - Phone:410-435-8549
Mailing Address - Fax:
Practice Address - Street 1:1305 SHERWOOD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2225
Practice Address - Country:US
Practice Address - Phone:410-435-8549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility