GOLDEN YEARS NPI 1972901130

NPI Information

  • NPI: 1972901130
  • Provider Name: GOLDEN YEARS
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 50D2293044
  • Address: 48A HUBBARD RD
    RIVERSIDE, WA
    ZIP 98849
  • Phone: (509) 846-0146

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NPI Details

GOLDEN YEARS is an adult care home custodial care facility in Riverside, WA. The provider is 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. GOLDEN YEARS NPI is 1972901130. The provider is registered as an organization entity type.

The provider's business location address is:

48A HUBBARD RD
RIVERSIDE, WA
ZIP 98849-650
Phone: (509) 846-0146
Fax: (509) 846-0146

The provider's authorized official is Ryan D Holz .
The authorized official title is Owner and has the following contact phone number (509) 846-0146.

The CLIA number assigned to this NPI record is 50D2293044 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2014 and was last updated on 12/19/2014.

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
1311ZA0620XCustodial Care FacilityAdult Care Home597900WASHINGTONYes

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: 11/21/2025

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