Active NPI
Golden Years Adult Daycare
- Respite Care
- Columbus, MS
National Provider Identifier
1114464674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.