GOLDEN TIMES CARE CENTER LLC (NPI# 1437687910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437687910 |
Entity Type | Organization |
Organization Name | GOLDEN TIMES CARE CENTER LLC |
Practice Address |
11036 N 28th Dr Unit 111 Phoenix AZ 85029-4305 |
Practice Telephone | (480) 399-0502 |
Mailing Telephone | 4803990502 |
Enumeration Date | 2017-05-30 |
Last Update Date | 2017-05-30 |
Authorized Official Name | MR. ABDUL RAHEEM ABDUL JABBAR (OWNER) |
Authorized Official Telephone | 4803990502 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Street Address |
11036 N 28TH DR UNIT 111 |
City | PHOENIX |
State | AZ |
Zip Code | 85029-4305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
Find all providers in zip 85029 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023673316 | Nsync Business Solutions, LLC | Clinic/Center | 2928 E Mobile Ln, Phoenix, AZ 85040-2742 | 2019-05-02 |
1982150884 | K & C Ventures LLC | Clinic/Center | 4013 E Broadway Rd, Phoenix, AZ 85040-8818 | 2016-08-30 |
1891142840 | Suntree Center LLC | Clinic/Center | 4120 N 20th St Ste H, Phoenix, AZ 85016-6022 | 2016-05-19 |
1306009972 | Sunflower Adult Day Care | Clinic/Center | 2814 W Bell Rd Ste 1415, Phoenix, AZ 85053-7531 | 2008-07-03 |
1497109599 | Desert Mission Inc | Clinic/Center | 303 E Eva St, Phoenix, AZ 85020-2526 | 2016-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457950776 | Abundant Grace Senior Care, LLC | Clinic/Center | 3830 W Agua Fria Dr, Golden Valley, AZ 86413-9309 | 2020-10-19 |
1508480500 | One Step Beyond, Inc | Clinic/Center | 9299 W Olive Ave Ste 311, Peoria, AZ 85345-8381 | 2020-06-04 |
1184260366 | Mark Allan Young | Clinic/Center | 208 W Chandler Heights Rd Ste 102, Chandler, AZ 85248-5065 | 2019-11-21 |
1053884452 | Mountain Care of Snowflake, LLC | Clinic/Center | 48 E 1st St S, Snowflake, AZ 85937-5336 | 2019-01-08 |
1497267892 | Catholic Community Services Yuma | Clinic/Center | 321 S 15th Ave, Yuma, AZ 85364-1939 | 2017-10-26 |
1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
1144675307 | Sun City Area Interfaith Services, Inc | Clinic/Center | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2016-04-25 |
1114388626 | Oakwood Creative Care Inc. | Clinic/Center | 247 N Macdonald, 102, Mesa, AZ 85201-6622 | 2016-03-10 |
1114233079 | 1203 Palloverde LLC | Clinic/Center | 1203 W Palo Verde Dr, Chandler, AZ 85224-2358 | 2010-08-28 |
1861629834 | Laura's Healing Hands | Clinic/Center | 2952 E Haddan Ct, Eloy, AZ 85231-2708 | 2009-06-17 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on GOLDEN TIMES CARE CENTER LLC.
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.