Golden Days Villa Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12001 Issued in TX

Legal business name

GOLDEN DAYS VILLA INC

Practice address

439 East Main
Yorktown, TX 78164-0365

Phone

(361) 564-9522

Fax

(361) 564-9520

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Michael Golden

Title

President

Phone

(361) 564-2702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1659568442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "address_2": "439 EAST MAIN",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781640365",
            "telephone_number": "361-564-9522",
            "fax_number": "361-564-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 EAST MAIN",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781640365",
            "telephone_number": "361-564-9522",
            "fax_number": "361-564-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN DAYS VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-564-2702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "12001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Yorktown, TX
• Providers in Yorktown, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.