Evelyn Stansbarger

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH5964 Issued in AZ

Legal business name

EVELYN STANSBARGER

Doing business as

Golden Years Care Home, LLC

Practice address

5632 E Fairbrook St
Mesa, AZ 85205-5571

Phone

(480) 612-1955

Fax

(480) 924-3168

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Evelyn Stansbarger

Title

Single Member

Phone

(480) 612-1955

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Years Care Home, LLC Doing business as

Tax ID family

Evelyn Stansbarger2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Golden Years Care Home, LLC

  • Adult Care Home Facility
  • Mesa, AZ
  • NPI 1609932193
  NPD tax ID

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164631487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 E ODESSA ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151060",
            "telephone_number": "480-612-1955",
            "fax_number": "480-924-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 E FAIRBROOK ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055571",
            "telephone_number": "480-612-1955",
            "fax_number": "480-924-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN STANSBARGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANSBARGER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "480-612-1955"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH5964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED GROUP HOME",
            "identifier": "ALH5964",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Years Care Home, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Nguyen Evans
• Meghan Evans, MS, CF-SLP
• Michael L Evans
• Ruby Evans
• Evasyl Medical Supply
• Everest Medical Group Inc (Everest Medical Group)
• Everest Pediatric Therapy LLC
• Justin Everett
• Renee Nicole Everett, R.N.
• Sue Thayer Everett, MA CCC SLP

• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.