Healthcare Provider Details

I. General information

NPI: 1538251657
Provider Name (Legal Business Name): GOLDEN YEARS MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 FAIR OAKS BLVD
CARMICHAEL CA
95608-4818
US

IV. Provider business mailing address

6101 FAIR OAKS BLVD
CARMICHAEL CA
95608-4818
US

V. Phone/Fax

Practice location:
  • Phone: 916-488-7211
  • Fax: 916-488-3132
Mailing address:
  • Phone: 916-488-7211
  • Fax: 916-488-3132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. STUART M DRAKE
Title or Position: EXECUTIVE ADMINISTRATOR
Credential:
Phone: 916-488-7211