COUNCIL ON AGING GOLDEN AGE CENTER (NPI# 1174669592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174669592 |
| Entity Type | Organization |
| Organization Name | COUNCIL ON AGING GOLDEN AGE CENTER |
| Other Organization Name | GOLDEN AGE CENTER |
| Practice Address |
155 S 100 W Vernal UT 84078-2523 |
| Practice Telephone | 4357892169 |
| Practice Fax Number | 4357892171 |
| Mailing Telephone | 4357892169 |
| Mailing Fax Number | 4357892171 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LOUISE MARTIN (DIRECTOR) |
| Authorized Official Telephone | 4357892169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | UT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 807028025008 | 05 | |
| UT | 876000318001 | 05 |
| Other Name | Type Code |
|---|---|
| Golden Age Center | Other Name - Individual/Organization |
| Street Address |
155 S 100 W |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861883738 | Uintah Basin Tricounty Mental Health & Substance Abuse Local Authority | Case Management | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062537 | Phillip Smith | Case Management | 230 W 400 S, Salt Lake City, UT 84101-1829 | 2020-10-29 |
| 1629696257 | Filita Bloomfield | Case Management | 6526 S Mount Whitney Ln, West Valley City, UT 84118-9362 | 2020-07-09 |
| 1629537238 | Adelfos LLC | Case Management | 308 W Willow Creek Dr, Saratoga Springs, UT 84045-4814 | 2019-03-14 |
| 1831657709 | Abc Case Management, Inc. | Case Management | 12971 S Shawnee Dr, Riverton, UT 84096-7805 | 2019-03-08 |
| 1114423803 | Lemoyne Lee | Case Management | 4162 W 4570 S, West Valley, UT 84120-6043 | 2018-04-02 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1629515044 | Care 2 Care Services | Case Management | 451 E Bishop Federal Ln Ste 150, Salt Lake City, UT 84115-2357 | 2017-01-24 |
| 1598214959 | Gracehouse Healing Centers Utah County | Case Management | 744 S 400 E, Orem, UT 84097-6322 | 2016-09-27 |
| 1275985244 | American Care United,llc | Case Management | 1515 E Fort Union Blvd, Cottonwood Heights, UT 84121-2855 | 2016-07-01 |
| 1750732004 | Olivia Howell | Case Management | 189 E Fort Union Blvd, Suite 250, Midvale, UT 84047-5661 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.