Active NPI
Golden Age Senior Care of Desert Springs, LLC
Doing business as Sunridge at Desert Springs
- Assisted Living Facility
- El Paso, TX
National Provider Identifier
1407372329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 144733
- Legal business name
- GOLDEN AGE SENIOR CARE OF DESERT SPRINGS, LLC
- Doing business as
- Sunridge at Desert Springs
- Practice address
- 5901 Bandolero Dr
El Paso, TX 79912-6662 - Phone
- (915) 842-0900
- Fax
- (915) 842-0903
- NPI assigned
- Aug 22, 2017
- Last updated
- Mar 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey A Davis
- Title
- Managing Member
- Phone
- (312) 521-7600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 144733 | TX | Primary |
| Alzheimer Center (Dementia Center) | 311500000X | NU |
Addresses
Primary practice location
5901 Bandolero Dr
El Paso, TX 79912-6662
Mailing address
5555 W Grande Market Dr Ste a
Appleton, WI 54913-8403
Phone (920) 574-3833
Other names 1
- Sunridge at Desert Springs
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583193600000",
"number": "1407372329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 W GRANDE MARKET DR STE A",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138403",
"telephone_number": "920-574-3833",
"fax_number": "920-574-3850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BANDOLERO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799126662",
"telephone_number": "915-842-0900",
"fax_number": "915-842-0903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN AGE SENIOR CARE OF DESERT SPRINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-22",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "312-521-7600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "144733",
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunridge at Desert Springs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Paso, TX
- Munaza Gohar, M.D.
- Gold Standard Care MHT LLC
- Goldblatt Psychological Services PLLC
- Golden Age Senior Care of Cambria
- Golden Age Senior Care of Cielo Vista, LLC (SunRidge at Cielo Vista)
- Golden Age Senior Care of Palisades, LLC
- Golden Care Assisted Living LLC
- Golden Era Home Care LLC
- Golden Lotus Massage LLC
- Golden Wheels Transit Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.