Golden Age Supervisory Home in Eloy - Assisted Living Facility
Golden Age Supervisory Home - NPI 1245386085
Golden Age Supervisory Home is a Assisted Living Facility in Eloy, Arizona. Golden Age Supervisory Home practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Golden Age Supervisory Home is 1245386085. The last update date is 2020-08-22.
Golden Age Supervisory Home's current location address is 118 E 11th Street, Eloy, Arizona. You can contact this provider via phone number 5204667885 and fax number 5204667885. The mailing address for Golden Age Supervisory Home is 118 E 11th Street, Eloy, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Age Supervisory Home |
|---|---|
| Address | 118 E 11th Street, Eloy, Arizona |
| Phone Number | 5204667885 |
| Fax Number | 5204667885 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER MANA |
|---|---|
| Authorized Official Name | Campos Diaz Rosa |
| Telephone Number | 5204667885 |
NPI Number Detail
| NPI Number | 1245386085 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 118 E 11th Street |
|---|---|
| City | Eloy |
| State | Arizona (AZ) |
| Post Code | 85231 |
| Phone Number | 5204667885 |
| Fax Number | 5204667885 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 537847 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Golden Age Supervisory Home?
The Golden Age Supervisory Home has been issued the NPI (National Provider Identifier) 1245386085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Golden Age Supervisory Home located?
The Golden Age Supervisory Home is located at 118 E 11Th Street, Eloy, AZ 85231.
What is Golden Age Supervisory Home's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Golden Age Supervisory Home is Assisted Living Facility, and the corresponding taxonomy classification code for this specialized field is 310400000X.
On what date did the Golden Age Supervisory Home receive the assignment of its 1245386085 from the Centers for Medicare & Medicaid Services?
The Golden Age Supervisory Home was issued its 1245386085 by the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the Golden Age Supervisory Home's information last updated?
The Golden Age Supervisory Home's information was last updated on 2020-08-22.