Organization Active NPI

Golden Acres Adult Day Health Care Center, Inc

  • Adult Day Care Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1962618538
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 ACRES ADULT DAY HEALTH CARE CENTER, INC
Practice address
12041 Strathern St
North Hollywood, CA 91605-1415
Phone
(818) 767-1361
Fax
(818) 767-1370
NPI assigned
May 14, 2007
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
Sonny Agbede
Title
President
Phone
(818) 767-1361

Specialties & licenses 1

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

Addresses

Primary practice location

12041 Strathern St
North Hollywood, CA 91605-1415

Mailing address

12041 Strathern St
North Hollywood, CA 91605-1415
Phone (818) 767-1361

Other identifiers 1

IdentifierTypeStateIssuer
ADU70184FMedicaidCA

Other names 1

  • GOLDEN ACRES ADULT DAY HEALTH CARE Other name

National Provider Directory

National Provider Directory

Locations

12041 Strathern St
North Hollywood, CA 91605
Phone (818) 767-1361

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962618538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 STRATHERN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051415",
            "telephone_number": "818-767-1361",
            "fax_number": "818-767-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 STRATHERN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051415",
            "telephone_number": "818-767-1361",
            "fax_number": "818-767-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ACRES ADULT DAY HEALTH CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGBEDE",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-767-1361"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70184F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN ACRES ADULT DAY HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Hollywood, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.