Healthcare Provider Details

I. General information

NPI: 1942820196
Provider Name (Legal Business Name): GOLDEN DAYS ADULT CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 ROSSOTTO DR
HAMDEN CT
06514-1335
US

IV. Provider business mailing address

2 RALEIGH WAY
FREEHOLD NJ
07728-7906
US

V. Phone/Fax

Practice location:
  • Phone: 732-284-6020
  • Fax: 267-878-0160
Mailing address:
  • Phone: 732-284-6020
  • Fax: 267-878-0160

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: ASHISH DESAI
Title or Position: OWNER
Credential:
Phone: 732-284-6020