Golden Age Adult Daycare

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GOLDEN AGE ADULT DAYCARE

Practice address

1671 S Old Highway 141
Fenton, MO 63026-5702

Phone

(314) 562-7051

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonisha StallingsNPI 1275105959

Title

Owner

Phone

(314) 562-7051

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tonisha Stallings

  • Community Health Worker
  • Fenton, MO
  • NPI 1275105959
  NPD Authorized official

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1407521891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 S OLD HIGHWAY 141",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 S OLD HIGHWAY 141",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265702",
            "telephone_number": "314-562-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "TONISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-562-7051"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122083",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Anne Getzewich, MD
• Janine M Giaconia, MOT
• Heidi Gioia, RNC,OGNP
• Tara Nicole Glore, M.S. CCC-SLP
• Sarah Godsey, M.A., CCC-SLP
• James Grainger
• McKayla Graves
• Kaitlyn Gray, LCSW
• Susan J. Gray, MD
• Mark A Greaves, RPH

• Adult Day Care Clinic/Center in Fenton, MO
• Providers in Fenton, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.