Golden Years Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADS38641 Issued in ME

Legal business name

GOLDEN YEARS ADULT DAY CARE

Practice address

24 Hoyt St
Springvale, ME 04083-1710

Phone

(207) 850-4793

Fax

(207) 850-1184

NPI assigned

Dec 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorrie Ann Pettengill, CRMA,MA,CNA-MNPI 1740639210

Title

Administrator

Phone

(207) 730-0968

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorrie Ann Pettengill

  • Adult Day Care Clinic/Center
  • Springvale, ME
  • NPI 1740639210
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1013451202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOYT ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831710",
            "telephone_number": "207-850-4793",
            "fax_number": "207-850-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOYT ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831710",
            "telephone_number": "207-850-4793",
            "fax_number": "207-850-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "PETTENGILL",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-730-0968",
        "authorized_official_credential": "CRMA,MA,CNA-M"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "ME",
            "license": "ADS38641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J. Fuller, LCSW, LADC
• Sarah E. Furman, LCSW
• Judy Gagnon, MSW, LCSW
• Chloe Gaudissart
• Timothy F. Gauthier, CADC
• Crystal Ann Goodrich, OT
• Elise Grabowski, DMD
• Robert L Grace, DMD
• William L. Grapentine, MD
• Maureen A. Green, CADC

• Adult Day Care Clinic/Center in Springvale, ME
• Providers in Springvale, ME by specialty
• Adult Day Care Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.