=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013377100
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GOLDEN TIME PERSONAL CARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2016
-----------------------------------------------------
Last Update Date | 03/29/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12835 E ARAPAHOE RD STE 1-330
-----------------------------------------------------
City | CENTENNIAL
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80112-6723
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-369-6680
-----------------------------------------------------
Fax | 303-369-6681
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12835 E ARAPAHOE RD STE 1-330
-----------------------------------------------------
City | CENTENNIAL
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80112-6723
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-369-6680
-----------------------------------------------------
Fax | 303-369-6681
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR/OWNER
-----------------------------------------------------
Name | NARINE GAZARIAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 303-369-6680
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 10O620
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------