Golden Years Residential Care, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

GOLDEN YEARS RESIDENTIAL CARE, LLC

Practice address

2945 Maverick St
Las Vegas, NV 89108-3907

Phone

(702) 901-9281

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Carmen Petrinca Hirciag

Title

Administrator

Phone

(702) 901-9281

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1740748144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 MAVERICK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 MAVERICK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083907",
            "telephone_number": "702-901-9281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6990 Edna Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891173004",
            "country_code": "US",
            "telephone_number": "702-901-9281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN YEARS RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "PETRINCA HIRCIAG",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-901-9281"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Victory Medical Internal Medicine
• Golden Vista Home Health Services, Inc.
• Golden Years Personal Care LLC
• Golden Years Personal Care LLC
• Golden Years Residential Care Facility, LLC (Golden Years Memory Care LLC)
• Angelique Cassandra Golden, MS, CCC-SLP
• Breonna Golden
• Carolyn L Golden
• Daniel Lewis Golden, MD
• Keozhaulee Golden

• Alzheimer Center (Dementia Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Alzheimer Center (Dementia Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.