GOLDEN AGE SENIOR CARE OF CAMBRIA (NPI# 1457638140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457638140 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE SENIOR CARE OF CAMBRIA |
| Practice Address |
1991 Saul Kleinfeld Dr El Paso TX 79936-3757 |
| Mailing Address |
125 S Wacker Dr Suite 1800 Chicago IL 60606-4424 |
| Practice Telephone | 9158575487 |
| Practice Fax Number | 9158577404 |
| Mailing Telephone | 3123571601 |
| 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 |
1991 SAUL KLEINFELD DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780741520 | Bertha Garcia | Physical Therapy Assistant | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2007-01-02 |
| 1255632329 | Weston Rehabilitation Texas LLC | Occupational Therapist | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2010-11-05 |
| 1821234642 | Paul Michael Rodriguez | Occupational Therapist | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2008-12-29 |
| 1114172764 | Nancy Menjivar-magana | Occupational Therapist | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2008-11-24 |
| 1134395171 | Kathy D Martin | Physical Therapy Assistant | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2008-04-30 |
| 1023239704 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2007-05-01 |
| 1194944454 | Sergio Antonio Herrera | Physical Therapist | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2007-04-25 |
| 1164552899 | Allison C Carson | Physical Therapist | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2007-03-06 |
| 1538294327 | Randy D Cottrell | Occupational Therapist | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2007-02-22 |
| 1003951641 | Susan C Acosta | Physical Therapist | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| 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.