NPIMap

Organization Active NPI

Golden Years LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1285284224
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN YEARS LLC
Doing business as
GOLDEN TIMES ASSISTED LIVING
Practice address
6857 N 12TH Way
Phoenix, AZ 85014-1117
Phone
(602) 338-0975
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Salomon Maniraguha
Title
Owner
Phone
(602) 338-0975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6857 N 12TH Way
Phoenix, AZ 85014-1117

Mailing address

6857 N 12TH Way
Phoenix, AZ 85014-1117
Phone (602) 338-0975

Other names 1

  • GOLDEN TIMES ASSISTED LIVING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1285284224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6857 N 12TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141117",
            "telephone_number": "602-338-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6857 N 12TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141117",
            "telephone_number": "602-338-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "MANIRAGUHA",
        "authorized_official_first_name": "SALOMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-338-0975"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN TIMES ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.