NPIMap

Organization Active NPI

Golden Times Care Center LLC

  • Adult Day Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1437687910
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GOLDEN TIMES CARE CENTER LLC
Practice address
11036 N 28TH Dr Unit 111
Phoenix, AZ 85029-4305
Phone
(480) 399-0502
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Abdul Raheem Abdul Jabbar
Title
Owner
Phone
(480) 399-0502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

11036 N 28TH Dr Unit 111
Phoenix, AZ 85029-4305

Mailing address

11036 N 28TH Dr Unit 111
Phoenix, AZ 85029-4305
Phone (480) 399-0502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437687910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11036 N 28TH DR UNIT 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294305",
            "telephone_number": "480-399-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11036 N 28TH DR UNIT 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294305",
            "telephone_number": "480-399-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TIMES CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABDUL JABBAR",
        "authorized_official_first_name": "ABDUL RAHEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-399-0502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.