Golden Years and More Assisting Living

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

ALF103941 Issued in VA

Legal business name

GOLDEN YEARS AND MORE ASSISTING LIVING

Practice address

13114 Canova Dr
Manassas, VA 20112-7840

Phone

(703) 791-0058

Fax

(703) 563-9476

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Philip B Calubaquib, ADMIN

Title

Administrator

Phone

(703) 791-0058

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1366989923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 CANOVA DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127840",
            "telephone_number": "703-791-0058",
            "fax_number": "703-563-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 CANOVA DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127840",
            "telephone_number": "703-791-0058",
            "fax_number": "703-563-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS AND MORE ASSISTING LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "CALUBAQUIB",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-791-0058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "VA",
            "license": "ALF103941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis Goad, BCABA
• Maggie Godwin, OTR/L
• Gohman Psychological Services
• Supriya Sujit Gokhale
• Stacey Goldberg, M.S., CCC-SLP
• Richard Roy Goldin, DDS
• Jennifer Jill Goldman, AU.D.
• Goldmond Healthcare Services LLC
• Michelle Gomes
• Lawrence P Gonzales, PHARM.D.

• Assisted Living Facility (Behavioral Disturbances) in Manassas, VA
• Providers in Manassas, VA by specialty
• Assisted Living Facility (Behavioral Disturbances) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.