Organization Active NPI

Life's Golden Horizons, Inc

Doing business as Antelope Valley Adult Day Health Care

  • Adult Day Care Clinic/Center
  • Lancaster, CA
National Provider Identifier
1619033826
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000760 Issued in CA
Legal business name
LIFE'S GOLDEN HORIZONS, INC
Doing business as
Antelope Valley Adult Day Health Care
Practice address
44902 10TH St W
Lancaster, CA 93534-2314
Phone
(661) 949-6278
Fax
(661) 949-6768
NPI assigned
Dec 29, 2006
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Mr. Young Hiro
Title
Administrator
Phone
(661) 949-6278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000760 CA Primary

Addresses

Primary practice location

44902 10TH St W
Lancaster, CA 93534-2314

Mailing address

42212 10TH St W Ste 8
Lancaster, CA 93534-7005
Phone (661) 949-6278

Other identifiers 1

IdentifierTypeStateIssuer
ADU70204GOtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • Antelope Valley Adult Day Health Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2224364Antelope Valley Adult Day44902 10TH St W, Lancaster, CA 93534Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

42212 10th St W
Ste 8
Lancaster, CA 93534
Phone (661) 266-7495

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": "1721779200000",
    "number": "1619033826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42212 10TH ST W STE 8",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347005",
            "telephone_number": "661-949-6278",
            "fax_number": "661-949-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44902 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342314",
            "telephone_number": "661-949-6278",
            "fax_number": "661-949-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S GOLDEN HORIZONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "HIRO",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-949-6278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "ADU70204G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antelope Valley Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.