Golden Years Residential Care Facility, Llc

LBN: Golden Years Residential Care Facility, Llc
Golden Years Residential Care Facility, Llc is an health care organization with primary practice located at 8920 Loggers Mill Ave , Las Vegas NV 89143-5423. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Golden Years Residential Care Facility, Llc can be contacted via phone (702) 202-6475, or through Dauz, Kristofer via phone (702) 480-9021.

Contact Information

Primary practice address
8920 Loggers Mill Ave Las Vegas NV 89143-5423
Phone: (702) 202-6475
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dauz, Kristofer
Phone: (702) 480-9021

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1922644459
LBN Legal business name Golden Years Residential Care Facility, Llc
DBA Doing business as
Authorized official Dauz, Kristofer
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922644459 NPPES
Nevada MEDICAID 100539474

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