Organization Active NPI

Golden Age Caregivers

  • Home Health Aide
  • Clive, IA
National Provider Identifier
1376894238
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
489DLC-440147 Issued in IA
Legal business name
GOLDEN AGE CAREGIVERS
Practice address
8527 University Blvd Ste 9
Clive, IA 50325-1069
Phone
(515) 661-3836
NPI assigned
Oct 1, 2012
Organization subpart
Yes
Parent organization
NOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Mr. Zaccius Rop, CEO
Title
Registered Nurse
Phone
(515) 661-3836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X 489DLC-440147 IA Primary

Addresses

Primary practice location

8527 University Blvd Ste 9
Clive, IA 50325-1069

Mailing address

8527 University Blvd Ste 9
Clive, IA 50325-1069
Phone (515) 661-3836

National Provider Directory

National Provider Directory
Part of
Golden Age Caregivers

Locations

8527 University Blvd
Ste 9
Clive, IA 50325
Phone (515) 402-5422

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1376894238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8527 UNIVERSITY BLVD STE 9",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251069",
            "telephone_number": "515-661-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8527 UNIVERSITY BLVD STE 9",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251069",
            "telephone_number": "515-661-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE CAREGIVERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "ROP",
        "authorized_official_first_name": "ZACCIUS",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "515-661-3836",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "IA",
            "license": "489DLC-440147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.