Organization Active NPI

Golden Age Day Care Service

  • Adult Day Care Clinic/Center
  • Columbus, OH
National Provider Identifier
1104037712
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GOLDEN AGE DAY CARE SERVICE
Practice address
464 Industrial Mile Rd
Columbus, OH 43228-2411
Phone
(614) 332-4655
NPI assigned
May 24, 2007
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mr. Mohamud DallinNPI 1184451155
Title
Owner
Phone
(614) 332-4655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

464 Industrial Mile Rd
Columbus, OH 43228-2411

Mailing address

464 Industrial Mile Rd
Columbus, OH 43228-2411
Phone (614) 332-4655

Other names 1

  • Golden Age Day Care Service Other name

National Provider Directory

National Provider Directory
Tax ID family
Golden Age Day Care Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3238 Cleveland Ave
Columbus, OH 43224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1104037712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282411",
            "telephone_number": "614-332-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282411",
            "telephone_number": "614-332-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE DAY CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "DALLIN",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-332-4655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Day Care Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.