Organization Active NPI

Golden Years Adult Day Care, LLC

  • Adult Care Home Facility
  • Mandeville, LA
National Provider Identifier
1649426669
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GOLDEN YEARS ADULT DAY CARE, LLC
Practice address
805 Asbury Dr
Mandeville, LA 70471-1841
Phone
(985) 626-9441
NPI assigned
Aug 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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

Authorized official

Name
Mrs. Jodi Bergeron
Title
Owner/Adm.
Phone
(985) 373-8336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X LA Primary

Addresses

Primary practice location

805 Asbury Dr
Mandeville, LA 70471-1841

Mailing address

1226 S Ridge Dr
Mandeville, LA 70448-1017
Phone (985) 626-9441

Other names 1

  • Golden Years Geriatric Day Care Other name

National Provider Directory

National Provider Directory

Locations

805 Asbury Dr
Mandeville, LA 70471
Phone (985) 626-9441

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1649426669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 S RIDGE DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481017",
            "telephone_number": "985-626-9441",
            "fax_number": "985-626-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ASBURY DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711841",
            "telephone_number": "985-626-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-10",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER/ADM.",
        "authorized_official_telephone_number": "985-373-8336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Years Geriatric Day Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.