GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC (NPI# 1922644459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922644459 |
| Entity Type | Organization |
| Organization Name | GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC |
| Practice Address |
8920 Loggers Mill Ave Las Vegas NV 89143-5423 |
| Practice Telephone | 7022026475 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | KRISTOFER DAUZ (ADMINISTRATOR) |
| Authorized Official Telephone | 7024809021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100539474 | 05 |
| Other Name | Type Code |
|---|---|
| Golden Years Memory Care LLC | Doing Business As Name - Organization |
| Street Address |
8920 LOGGERS MILL AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89143-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356735823 | Rodney Sholty | Family Medicine | 8121 Caramel Gorge Ct, Las Vegas, NV 89143 | 2015-03-23 |
| 1417345505 | Anthony Cialkowski | Physical Therapy Assistant | 8412 Timber Pine Ave., Las Vegas, NV 89143 | 2014-12-26 |
| 1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
| 1396961611 | Joseph (joe) David Cracraft | Specialist | 6375 West Charleston Blvd., Las Vegas, NV 89143 | 2007-04-17 |
| 1487066072 | A Third Hand | Specialist/Technologist, Other | 9806 Red Deer St, Las Vegas, NV 89143 | 2014-05-30 |
| 1255630356 | Daughters of Zion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8444 Bandit Bluff Ave, Las Vegas, NV 89143-0289 | 2011-03-15 |
| 1689000416 | Ezekiel Perez | Behavioral Analyst | 8913 Big Plantation Ave, Las Vegas, NV 89143-1112 | 2013-09-25 |
| 1164794319 | Nina Henderson | Rehabilitation Practitioner | 8908 Picket Fence Ave, Las Vegas, NV 89143-1114 | 2012-02-03 |
| 1407076821 | Steven Daniel Fisher | Social Worker | 9049 Pine Mission Ave, Las Vegas, NV 89143-1124 | 2007-04-26 |
| 1730788910 | Raney Yatomi | Behavior Technician | 8928 Reining Spur Ave, Las Vegas, NV 89143-1130 | 2020-10-20 |
| Find all providers in zip 89143 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164301 | Sachele Senior Guest Home | Custodial Care Facility | 3397 El Camino Real, Las Vegas, NV 89121-3424 | 2020-04-30 |
| 1902444557 | Adult Care Home LLC | Custodial Care Facility | 10315 Queensbury Ave, Las Vegas, NV 89135-2132 | 2019-12-13 |
| 1821634882 | Golden Sunshine Alzheimers Care | Custodial Care Facility | 309 La Rue Ct, Las Vegas, NV 89145-4170 | 2019-11-25 |
| 1497391635 | Sunlight Garden Group LLC | Custodial Care Facility | 950 Garden Breeze Way, Las Vegas, NV 89123-3630 | 2019-11-22 |
| 1326682667 | Golden Sunshine Alzheimer's Home Care, Inc. | Custodial Care Facility | 7765 Clearwood Ave, Las Vegas, NV 89123-0301 | 2019-10-30 |
| 1902457021 | At Nightingales LLC | Custodial Care Facility | 813 Fairway Dr, Las Vegas, NV 89107-2012 | 2019-09-20 |
| 1104485481 | Silverado Ranch Memory Care, Inc. | Custodial Care Facility | 248 Barletta Ave, Las Vegas, NV 89123-7410 | 2019-06-10 |
| 1912565482 | Synergy Usa, LLC | Custodial Care Facility | 8204 Cabin Springs Ave, Las Vegas, NV 89131-4622 | 2019-05-30 |
| 1467913335 | Advanced Care for The Elderly, LLC | Custodial Care Facility | 9501 Mulroona Ct, Las Vegas, NV 89129-6921 | 2019-03-25 |
| 1801355300 | Opheila F. Javier | Custodial Care Facility | 1627 Gabriel Dr, Las Vegas, NV 89119-6203 | 2019-03-14 |
| Find all providers in LAS VEGAS | ||||
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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.