Organization Active NPI

Golden Ages Palliative and Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Lancaster, CA
National Provider Identifier
1639735202
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 13, 2022

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)CodeLicenseStatePrimary
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 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
05D2311011Golden Ages Palliative and Hospice Care44140 20TH St Suite 103, Lancaster, CA 93534Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.