Council on Aging Golden Age Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COUNCIL ON AGING GOLDEN AGE CENTER

Practice address

155 S 100 W
Vernal, UT 84078-2523

Phone

(435) 789-2169

Fax

(435) 789-2171

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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

Mrs. Louise Martin

Title

Director

Phone

(435) 789-2169

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Golden Age Center Other name

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174669592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S 100 W",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782523",
            "telephone_number": "435-789-2169",
            "fax_number": "435-789-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S 100 W",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782523",
            "telephone_number": "435-789-2169",
            "fax_number": "435-789-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON AGING GOLDEN AGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-789-2169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000318001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807028025008",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amber Clayton
• Jennifer Cochran
• Aimee Collins
• Kathryn Colver
• Jeremy Conetah
• Charles L Crane, LMFT
• Jonathan E Crane, LCSW
• Stacy Dawn Crane, ACMHC
• Jerica Kent Curtis
• Aubrey Cutler, PHARM D

• Case Management Agency in Vernal, UT
• Providers in Vernal, UT by specialty
• Case Management Agency in Utah

• 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.