Freedaz LLC Dba Golden Days Adult Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-4898 Issued in AZ

Legal business name

FREEDAZ LLC DBA GOLDEN DAYS ADULT CARE HOME

Practice address

12414 N 38TH St
Phoenix, AZ 85032-7305

Phone

(602) 795-5599

Fax

(602) 795-5789

NPI assigned

Jun 3, 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

Dr. Victor Q Zapanta, MD

Title

Governing Authority

Phone

(602) 694-5942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245432152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12414 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327305",
            "telephone_number": "602-795-5599",
            "fax_number": "602-795-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327305",
            "telephone_number": "602-795-5599",
            "fax_number": "602-795-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDAZ LLC DBA GOLDEN DAYS ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAPANTA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "GOVERNING AUTHORITY",
        "authorized_official_telephone_number": "602-694-5942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-4898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, 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.