GOLDEN YEARS AND MORE ASSISTING LIVING NPI 1366989923

NPI Information

  • NPI: 1366989923
  • Provider Name: GOLDEN YEARS AND MORE ASSISTING LIVING
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • Address: 13114 CANOVA DR
    MANASSAS, VA
    ZIP 20112
  • Phone: (703) 791-0058

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NPI Details

GOLDEN YEARS AND MORE ASSISTING LIVING is an assisted living and behavioral disturbances assisted living facility in Manassas, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. GOLDEN YEARS AND MORE ASSISTING LIVING NPI is 1366989923. The provider is registered as an organization entity type.

The provider's business location address is:

13114 CANOVA DR
MANASSAS, VA
ZIP 20112-840
Phone: (703) 791-0058
Fax: (703) 563-9476

The provider's authorized official is Philip B Calubaquib .
The authorized official title is Administrator and has the following contact phone number (703) 791-0058.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 1/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesALF103941VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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