The Golden Years Adult Day Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADS1008005 Issued in IL

Legal business name

THE GOLDEN YEARS ADULT DAY CENTER LLC

Practice address

7 N 44TH St
Belleville, IL 62226-5543

Phone

(618) 235-0126

Fax

(618) 235-4119

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Jeremy Gwinn

Title

Manager

Phone

(618) 235-0126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1588073753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N 44TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265543",
            "telephone_number": "618-235-0126",
            "fax_number": "618-235-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N 44TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265543",
            "telephone_number": "618-235-0126",
            "fax_number": "618-235-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOLDEN YEARS ADULT DAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "GWINN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-235-0126"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IL",
            "license": "ADS1008005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.