Organization Active NPI

Golden Years Personal Care Home

  • Assisted Living Facility
  • Muskegon, MI
National Provider Identifier
1932535416
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AM610282328 Issued in MI
Legal business name
GOLDEN YEARS PERSONAL CARE HOME
Practice address
6274 Macarthur Rd
Muskegon, MI 49442-9421
Phone
(231) 788-2160
Fax
(231) 788-5608
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Mrs. Lynn Marie Vanblargan
Title
Owner
Phone
(231) 788-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AM610282328 MI Primary

Addresses

Primary practice location

6274 Macarthur Rd
Muskegon, MI 49442-9421

Mailing address

6274 Macarthur Rd
Muskegon, MI 49442-9421
Phone (231) 788-2160

Other identifiers 1

IdentifierTypeStateIssuer
1832295MedicaidMI

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
23D2217096Golden Years Personal Care Home6274 Macarthur, Muskegon, MI 49442Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1932535416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6274 MACARTHUR RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494429421",
            "telephone_number": "231-788-2160",
            "fax_number": "231-788-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6274 MACARTHUR RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494429421",
            "telephone_number": "231-788-2160",
            "fax_number": "231-788-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "VANBLARGAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-788-2160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AM610282328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1832295",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.