GOLDEN AGE SENIOR CARE OF PALISADES, LLC (NPI# 1003193798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003193798 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE SENIOR CARE OF PALISADES, LLC |
| Practice Address |
1831 Murchison Dr El Paso TX 79902-2917 |
| Mailing Address |
125 S Wacker Dr Suite 1800 Chicago IL 60606-4424 |
| Practice Telephone | 9155338271 |
| Practice Fax Number | 9155331307 |
| Mailing Telephone | 3125217600 |
| Mailing Fax Number | 3123571611 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | JEFFREY A DAVIS (MANAGING MEMBER) |
| Authorized Official Telephone | 3125217600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1831 MURCHISON DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346379286 | Nancy M Spivey | Speech-Language Pathologist | 1831 Murchison Dr, El Paso, TX 79902-2917 | 2007-03-05 |
| 1861858359 | Shreya Health of Texas, Inc | Clinic/Center | 1831 Murchison Dr, El Paso, TX 79902-2917 | 2016-01-13 |
| 1619333564 | Sovereign Health of Texas | Substance Abuse Rehabilitation Facility | 1831 Murchison Dr, El Paso, TX 79902-2917 | 2016-01-07 |
| 1750411906 | Danielle Wright | Physical Therapy Assistant | 1831 Murchison Dr, El Paso, TX 79902-2917 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1700364072 | Patricia Rosales | Counselor | 611 Newman Street, El Paso, TX 79902 | 2018-07-30 |
| 1275020117 | Maximo Arroyo | Acupuncturist | 1627 Montana Ave, El Paso, TX 79902 | 2018-04-17 |
| 1699288464 | Eva Gonzalez-lewis | Social Worker | 1225 E. Cliff Dr Bldg 3 Ste#100, El Paso, TX 79902 | 2017-11-14 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1609306992 | Vidanta Personal Assistance Services Inc | Nursing Care | 1801 E Yandell Dr, El Paso, TX 79902 | 2017-06-19 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| 1841672904 | Norma Avitia | Counselor | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 | 2015-06-25 |
| 1962826370 | Josefina Avalos | Social Worker | 1101 E. Schuster, El Paso, TX 79902 | 2014-02-06 |
| Find all providers in zip 79902 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171522 | Gloria Romero Heinrichs | Assisted Living Facility | 10417 Persephone Dr, El Paso, TX 79924-2216 | 2019-12-17 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1407330350 | Maria Petra Aguirre | Assisted Living Facility | 3607 E Yandell Dr, El Paso, TX 79903-4410 | 2018-09-17 |
| 1417434994 | Villas Del Sol | Assisted Living Facility | 520 East Rd, El Paso, TX 79915-3005 | 2018-07-26 |
| 1376031112 | Ana Luisa Vega | Assisted Living Facility | 10628 Drillstone Dr, El Paso, TX 79925-1717 | 2018-04-26 |
| 1386140671 | Casa Felicitas 1 Small Assisted Living | Assisted Living Facility | 3330 E Yandell Dr, El Paso, TX 79903-4232 | 2018-04-04 |
| 1508307265 | Minerva Sustaita | Assisted Living Facility | 1845 Tommy Aaron Dr, El Paso, TX 79936 | 2017-03-14 |
| 1184164931 | The Forest Assisted Living, Inc. | Assisted Living Facility | 9355 N Loop Dr, El Paso, TX 79907-4827 | 2017-02-27 |
| 1104362862 | Bernardo M. Terres | Assisted Living Facility | 2218 Mermaid Dr, El Paso, TX 79936-3621 | 2017-01-18 |
| 1013453786 | Cecilia Jauregui Terres | Assisted Living Facility | 11651 Clear Lake Way, El Paso, TX 79936-4382 | 2017-01-18 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.