Active NPI
Golden Ages Palliative and Hospice Care Inc.
- Community Based Hospice Care Agency
- Lancaster, CA
National Provider Identifier
1639735202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GOLDEN AGES PALLIATIVE AND HOSPICE CARE INC.
- Practice address
- 44140 20TH St W Ste 103
Lancaster, CA 93534-4045 - Phone
- (661) 202-9870
- Fax
- (661) 522-3033
- NPI assigned
- May 19, 2019
- 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
- Erwin Maravilla
- Title
- Ceo
- Phone
- (661) 202-9870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
44140 20TH St W Ste 103
Lancaster, CA 93534-4045
Mailing address
44140 20TH St W Ste 103
Lancaster, CA 93534-4045
Phone (166) 120-2987
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2311011 | Golden Ages Palliative and Hospice Care | Certificate of waiver | Sep 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
44140 20th St W
Ste 103
Lancaster, CA 93534
Phone (661) 202-9870
650 Commerce Ave
Ste A
Palmdale, CA 93551
Phone (681) 526-5539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655078400000",
"number": "1639735202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44140 20TH ST W STE 103",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344045",
"telephone_number": "166-120-2987",
"fax_number": "661-526-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44140 20TH ST W STE 103",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344045",
"telephone_number": "661-202-9870",
"fax_number": "661-522-3033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN AGES PALLIATIVE AND HOSPICE CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-19",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A",
"authorized_official_last_name": "MARAVILLA",
"authorized_official_first_name": "ERWIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "661-202-9870"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 13, 2022; 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.