Healthcare Provider Details

I. General information

NPI: 1912372111
Provider Name (Legal Business Name): GOLDEN TIME ADULT DAY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7808 E CHERRY CREEK SOUTH DR STE 411
DENVER CO
80231-3218
US

IV. Provider business mailing address

7808 E CHERRY CREEK SOUTH DR STE 411
DENVER CO
80231-3218
US

V. Phone/Fax

Practice location:
  • Phone: 303-369-6680
  • Fax: 303-369-6681
Mailing address:
  • Phone: 303-369-6680
  • Fax: 303-369-6681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NARINE GAZARIAN
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 303-369-6680