Organization Active NPI

Golden Life LLC

  • Adult Day Care Clinic/Center
  • Portland, OR
National Provider Identifier
1801749668
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GOLDEN LIFE LLC
Practice address
8540 SW Apple Way
Portland, OR 97225-1772
Phone
(503) 860-5566
NPI assigned
Feb 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Victoria Gusenkov
Title
Manager
Phone
(503) 860-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

8540 SW Apple Way
Portland, OR 97225-1772

Mailing address

13435 SW Hawks Beard St Apt 822
Tigard, OR 97223-2127
Phone (503) 860-5566

National Provider Directory

National Provider Directory

Locations

8540 SW Apple Way
Portland, OR 97225
Phone (503) 860-5566

NPI Registry JSON

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1801749668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13435 SW HAWKS BEARD ST APT 822",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232127",
            "telephone_number": "503-860-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-860-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "GUSENKOV",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-860-5566"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.