Organization Active NPI

Golden Senior Assisted Living LLC

  • Assisted Living Facility
  • Denver, CO
National Provider Identifier
1033021639
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN SENIOR ASSISTED LIVING LLC
Practice address
2640 S Jersey St
Denver, CO 80222-6322
Phone
(303) 759-0450
NPI assigned
Sep 18, 2026
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Yudi Dwiardian
Title
Owner
Phone
(720) 871-7494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2640 S Jersey St
Denver, CO 80222-6322

Mailing address

2640 S Jersey St
Denver, CO 80222-6322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1033021639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 S JERSEY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 S JERSEY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226322",
            "telephone_number": "303-759-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SENIOR ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "DWIARDIAN",
        "authorized_official_first_name": "YUDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-871-7494"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.