Active NPI
Golden Years Adult Day Care, LLC
- Adult Care Home Facility
- Mandeville, LA
National Provider Identifier
1649426669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.