Organization Active NPI

Golden Ages Adult Daycare LLC

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1598156267
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
8122ADC-0 Issued in NV
Legal business name
GOLDEN AGES ADULT DAYCARE LLC
Practice address
3020 E Bonanza Rd
BLDG D Ste 160
Las Vegas, NV 89101-3702
Phone
(702) 427-5307
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Ms. Dennys Bautista
Title
Director
Phone
(702) 427-5307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 8122ADC-0 NV Primary

Addresses

Primary practice location

3020 E Bonanza Rd
BLDG D Ste 160
Las Vegas, NV 89101-3702

Mailing address

3020 E Bonanza Rd
BLDG D Ste 160
Las Vegas, NV 89101-3702
Phone (702) 427-5307

National Provider Directory

National Provider Directory

Locations

3020 E Bonanza Rd
Ste 160
Las Vegas, NV 89101
Phone (702) 427-5307

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1598156267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E BONANZA RD",
            "address_2": "BLDG D STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013702",
            "telephone_number": "702-427-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 E BONANZA RD",
            "address_2": "BLDG D STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013702",
            "telephone_number": "702-427-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGES ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "DENNYS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-427-5307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NV",
            "license": "8122ADC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.