MEDICARE: GOLDEN DAYS PCA LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1285443028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN DAYS PCA LLP

Provider Business Mailing Address
First Line	:	6077 S FORT APACHE RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5580
Country	:	US
Telephone Number	:	702-769-3380
Fax Number	:

Provider Business Practice Location Address
First Line	:	6077 S FORT APACHE RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5580
Country	:	US
Telephone Number	:	702-769-3380
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DAVIT HAKOBYAN
Credential	:
Telephone Number	:	702-769-3380

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	09/23/2025

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Directions to “GOLDEN DAYS PCA LLP ” Practice Location

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