Organization 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
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
144733 Issued in TX
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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)CodeLicenseStatePrimary
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 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": "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

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.

Verify at the official NPI Registry.