Healthcare Provider Details

I. General information

NPI: 1295677201
Provider Name (Legal Business Name): GOLDEN LIVING HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20393 E CALLE DE FLORES
QUEEN CREEK AZ
85142-6279
US

IV. Provider business mailing address

4904 S POWER RD STE 103-243
MESA AZ
85212-3609
US

V. Phone/Fax

Practice location:
  • Phone: 480-254-1004
  • Fax:
Mailing address:
  • Phone: 480-254-1004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: ELISABETH GEORGE
Title or Position: CEO
Credential:
Phone: 480-254-1004