P Praxis·MD
● Active Type 2 · Organization

Golden Angel Residential Assisted Living

Assisted Living Facility·Meridian, ID· NPI 1730823816 · Enumerated 2022 · 4 years on NPI
Golden Angel Residential Assisted Living is 1 of 11 assisted living facility organizations in Idaho.
NPI age
4 years
Enumerated 2022-04-25
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nyarecha
Administrator
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05

How this organization compares

Across 11 active assisted living facility providers in Idaho.

NPI age
4 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
2321 N Kenmere Dr
Meridian, ID 836461675
📞 2084406545fax 2083762908
Mailing address
2321 N Kenmere Pl
Meridian, ID 836461675
📞 2084406545

Authorized official

Duke Mutua Nyarecha, NP
Administrator
📞 2084406545

Specialties

  • Assisted Living Facility Primary
    A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility...
    taxonomy 3104A0625X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Golden Angel Residential Assisted Living
    Type code 3 recorded 2022-04-25
  • Golden Angels
    Type code 3 recorded 2022-04-25

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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