Organization Active NPI

Golden Age Bay Area LLC

  • Home Health Agency
  • Castro Valley, CA
National Provider Identifier
1043708258
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN AGE BAY AREA LLC
Practice address
20212 Redwood Rd Ste 103a
Castro Valley, CA 94546-4374
Phone
(510) 881-7815
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Mrs. Purnima Agarwal
Title
Member
Phone
(510) 881-7815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20212 Redwood Rd Ste 103a
Castro Valley, CA 94546-4374

Mailing address

20212 Redwood Rd Ste 103a
Castro Valley, CA 94546-4374
Phone (510) 881-7815

National Provider Directory

National Provider Directory

Locations

20212 Redwood Rd
Ste 103A
Castro Valley, CA 94546
Phone (510) 881-7815

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1043708258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD STE 103A",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464374",
            "telephone_number": "510-881-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD STE 103A",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464374",
            "telephone_number": "510-881-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE BAY AREA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "510-881-7815",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.