Organization Active NPI

Golden Years Adult Daycare

  • Respite Care
  • Columbus, MS
National Provider Identifier
1114464674
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
GOLDEN YEARS ADULT DAYCARE
Practice address
2409 5TH Ave S
Columbus, MS 39701-6234
Phone
(662) 574-1732
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Brenda Minor
Title
Owner
Phone
(662) 574-1732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X MS Primary

Addresses

Primary practice location

2409 5TH Ave S
Columbus, MS 39701-6234

Mailing address

2409 5TH Ave S
Columbus, MS 39701-6234
Phone (662) 574-1732

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114464674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 5TH AVE S",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397016234",
            "telephone_number": "662-574-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 5TH AVE S",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397016234",
            "telephone_number": "662-574-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-574-1732",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.