Golden Age Senior Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

015600840 Issued in CA

Legal business name

GOLDEN AGE SENIOR LIVING INC.

Practice address

218 Channing Way
Alameda, CA 94502-6452

Phone

(510) 522-3812

Fax

(510) 903-1312

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Maricel Tinio

Title

Administrator

Phone

(510) 522-3812

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1427209048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SWEET RD",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027798",
            "telephone_number": "510-522-3812",
            "fax_number": "510-903-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CHANNING WAY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026452",
            "telephone_number": "510-522-3812",
            "fax_number": "510-903-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE SENIOR LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "TINIO",
        "authorized_official_first_name": "MARICEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-522-3812"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "015600840",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "015600840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Howard Glaser, M.D.
• Michael Anthony Glazeski, O.D.
• Everett Tetushi Glenn, ASW
• Go Safely Inc
• Eileen Therese Go, MFT
• Golden Care Hospice
• Kathleen Rose Golden McAndrew, DNP, MSN, BC, ANP
• Golden Pacific Home Health, Inc.
• Golden Pacific Home Health, Inc.
• Sonya Brown Golden

• Assisted Living Facility in Alameda, CA
• Providers in Alameda, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.