GOLDEN YEARS HOME (NPI# 1902430879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902430879 |
| Entity Type | Organization |
| Organization Name | GOLDEN YEARS HOME |
| Practice Address |
506 4th St Sw Montgomery MN 56069-1222 |
| Practice Telephone | 5079530052 |
| Mailing Telephone | 5079530052 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | MONIKA LOPASOVSKA (OWNER) |
| Authorized Official Telephone | 5079530052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Golden Years Home | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Golden Years Home Care Services of Massachusetts "incorporated" | 167 Dwight Rd, Suite 208b, Longmeadow, MA 01106 |
| Colorado Business Entities | Golden Years Home Care, LLC | 2577 S Harlan Ct, Lakewood, CO 80227 |
| System for Award Management (SAM) Entities | GOLDEN YEARS HOMECARE SPECIALISTS II | 2403 S Market St Ste F, Brenham, TX 77833-5835 |
| Street Address |
506 4TH ST SW |
| City | MONTGOMERY |
| State | MN |
| Zip Code | 56069-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326108150 | City of Montgomery | Ambulance | 201 Ash Avenue East, Montgomery, MN 56069 | 2006-12-11 |
| 1437139714 | Robert A Taylor | Family Medicine | 501 4th St Nw, Montgomery, MN 56069 | 2006-01-20 |
| 1821495789 | Sara Marie Farias | Nurse Practitioner | 501 4th St Nw, Montgomery, MN 56069-1003 | 2014-11-20 |
| 1992198055 | Brenda Lee Hentges | Licensed Practical Nurse | 407 5th St Nw, Montgomery, MN 56069-1026 | 2015-03-13 |
| 1932240314 | Blossom Hill Corporation | Assisted Living Facility | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2007-02-09 |
| 1366914392 | Susan Marie Connolly | Counselor | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2019-01-02 |
| 1134691975 | Inspire Services, LLC | Clinic/Center | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2018-12-18 |
| 1326110388 | Mark Allen Brahs | Dentist | 110 1st St N, Montgomery, MN 56069-1514 | 2006-11-14 |
| 1265086011 | Gabriel Alberto De Los Rios | Dentist | 110 1st St N, Montgomery, MN 56069-1514 | 2019-07-30 |
| 1184087785 | Montgomery Family Dental, Pllc | Dentist | 110 1st St N, Montgomery, MN 56069-1514 | 2016-03-31 |
| Find all providers in zip 56069 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638168 | Lifeline By B&v LLC | Adult Companion | 1460 Ann St Ste F, Montgomery, AL 36107 | 2018-11-13 |
| 1164712204 | Open Arms Adult Day Care and Health Services LLC | Adult Companion | 3911 Fain Ct, Montgomery, AL 36109-3811 | 2011-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292944 | Reliable Quality Care LLC | Adult Companion | 1121 Hamline Ave N Unit 201, Saint Paul, MN 55108-2756 | 2020-10-12 |
| 1922605666 | Toujours Care Corp | Adult Companion | 16336 Jamison Path, Lakeville, MN 55044-6613 | 2020-10-06 |
| 1245855816 | Eric John Peltz | Adult Companion | 898 322nd Ave Ne, Cambridge, MN 55008-5810 | 2020-06-10 |
| 1497383392 | Jennifer Clement | Adult Companion | 1426 Oliver Ave N Apt 2, Minneapolis, MN 55411-3033 | 2020-03-28 |
| 1154965721 | Lansa Dawano | Adult Companion | 3707 104th Trl N, Minneapolis, MN 55443-1012 | 2019-11-06 |
| 1134786130 | Mohamed Shido Hassan | Adult Companion | 1312 7th St Nw Ste 203, Rochester, MN 55901-1704 | 2019-05-24 |
| 1457917262 | Pang Yang | Adult Companion | 12844 Raven St Nw, Coon Rapids, MN 55448-2578 | 2019-05-16 |
| 1629546072 | Andre Roberson | Adult Companion | 1110 Evergreen Ln N, Plymouth, MN 55441-4834 | 2018-11-04 |
| 1407349566 | Twins Care LLC | Adult Companion | 393 Dunlap St N Ste Ll44, Saint Paul, MN 55104-4237 | 2018-06-12 |
| 1578067344 | Taylor Lee Andrews | Adult Companion | 777 Dague Ave Ne, Buffalo, MN 55313-4214 | 2018-03-19 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 56069 |
Please comment or provide details below to improve the information on GOLDEN YEARS HOME.
| 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.