Golden Years Adult Daycare of Jackson LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GOLDEN YEARS ADULT DAYCARE OF JACKSON LLC

Practice address

1118 Whitehall Street
Jackson, TN 38301-3730

Phone

(731) 736-2440

Fax

(731) 736-3655

NPI assigned

Apr 9, 2018

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda F Douglas

Title

Manger

Phone

(731) 267-0818

Specialties & licenses 1

Addresses

Other names 1

• golden years adult daycare Other name

Locations

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1104323070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CARRIAGE DR SUITE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-506-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 WHITEHALL STREET",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013730",
            "telephone_number": "731-736-2440",
            "fax_number": "731-736-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS ADULT DAYCARE OF JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "731-267-0818"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "golden years adult daycare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "golden years adult daycare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Russell Andrew Goad
• Rebecca Goetze
• Nicole Marie Goggin
• Stephanie Elaine Goins-Jones, MSED
• Golden Moments Home Care, LLC
• Christie Golden, PT
• Brittney Bass Goldsby, PT
• Bonna Hardee Gollihugh, APRN
• Whitney Gomez, PHARM D
• Joseph Lynn Gooch, M.D.

• Adult Day Care Clinic/Center in Jackson, TN
• Providers in Jackson, TN by specialty
• Adult Day Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.