Active NPI
Golden Years Care Home, LLC
- Adult Care Home Facility
- Mesa, AZ
National Provider Identifier
1609932193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 789802
- Legal business name
- GOLDEN YEARS CARE HOME, LLC
- Practice address
- 7312 E Jasmine St
Mesa, AZ 85207-2930 - Phone
- (480) 396-4490
- Fax
- (480) 396-4490
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Evelyn G Stansbarger
- Title
- Owner
- Phone
- (480) 396-4490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 789802 | AZ | Primary |
Addresses
Primary practice location
7312 E Jasmine St
Mesa, AZ 85207-2930
Mailing address
7312 E Jasmine St
Mesa, AZ 85207-2930
Phone (480) 396-4490
National Provider Directory
National Provider Directory- Tax ID family
- Evelyn Stansbarger
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609932193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7312 E JASMINE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852072930",
"telephone_number": "480-396-4490",
"fax_number": "480-396-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7312 E JASMINE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852072930",
"telephone_number": "480-396-4490",
"fax_number": "480-396-4490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN YEARS CARE HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STANSBARGER",
"authorized_official_first_name": "EVELYN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-396-4490",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "AZ",
"license": "789802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Kimberly Goldberg, PHARMD
- Mark Daniel Goldberg, MD
- Amanda Lael Golde, LMT
- Golden Health at Home Personal Care Services LLC
- Golden Rose Hospice Care Inc
- Golden Years Physical Therapy LLC
- Jeanne Golden
- Goldfield Medical Clinics, LLC (Goldfield Cardiovascular Institue)
- Goldfield Mountain Healthcare LLC (Alta Mesa Health and Rehabilitation)
- Goldfield Mountain Healthcare LLC (Alta Mesa Health and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.