Organization Active NPI

Golden Age Adult Day Health Care Center, Inc.

  • Adult Day Care Clinic/Center
  • Tarzana, CA
National Provider Identifier
1902977218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GOLDEN AGE ADULT DAY HEALTH CARE CENTER, INC.
Practice address
18332 Ventura Blvd
Tarzana, CA 91356-4219
Phone
(818) 345-9393
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathy Bakshian
Title
Administrator
Phone
(818) 345-9393

Specialties & licenses 1

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

Addresses

Primary practice location

18332 Ventura Blvd
Tarzana, CA 91356-4219

Mailing address

18332 Ventura Blvd
Tarzana, CA 91356-4219
Phone (818) 345-9393

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0986970Golden Age Adult Day HLTH Care Ctr Inc18332 Ventura Blvd, Tarzana, CA 91356Certificate of waiverMay 23, 2027

National Provider Directory

National Provider Directory

Locations

18332 Ventura Blvd
Tarzana, CA 91356
Phone (818) 345-9393

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902977218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18332 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564219",
            "telephone_number": "818-345-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18332 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564219",
            "telephone_number": "818-345-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ADULT DAY HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKSHIAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-345-9393"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.