Active NPI
Golden Life
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1629520317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GOLDEN LIFE
- Practice address
- 900 Karen Ave
#B203
Las Vegas, NV 89109-1264 - Phone
- (702) 684-6337
- NPI assigned
- Oct 27, 2016
- 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
- Deandre McGee
- Title
- Managing Partner
- Phone
- (702) 544-6727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV | Primary |
Addresses
Primary practice location
900 Karen Ave
#B203
Las Vegas, NV 89109-1264
Mailing address
900 Karen Ave
#B203
Las Vegas, NV 89109-1264
Phone (702) 684-6337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477526400000",
"number": "1629520317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 KAREN AVE",
"address_2": "#B203",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091264",
"telephone_number": "702-684-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 KAREN AVE",
"address_2": "#B203",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091264",
"telephone_number": "702-684-6337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A",
"authorized_official_last_name": "MCGEE",
"authorized_official_first_name": "DEANDRE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "702-544-6727"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
- Golden Heart Hospice LLC
- Golden Heart LLC
- Golden Heart Wellness LLC
- Golden Home Care L.L.C.
- Golden Lake Care Home (maide llc)
- Golden Miles
- Golden Road Behavioral Health SVC LLC
- Golden Road Behavioral Health SVC LLC
- Golden Soul Psychotherapy and Wellness
- Golden Sunshine Alzheimer's Home Care, Inc. (CNC Alzheimer's Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.