GOLDEN YEARS ADULT DAY CARE CENTER NPI 1457477077

NPI Information

NPI: 1457477077
Provider Name: GOLDEN YEARS ADULT DAY CARE CENTER
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Address: 1225 MCBRIDE AVE
WOODLAND PARK, NJ
ZIP 07424
Phone: (973) 783-4112

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NPI Details

GOLDEN YEARS ADULT DAY CARE CENTER is an adult day care clinic center in Woodland Park, NJ. GOLDEN YEARS ADULT DAY CARE CENTER NPI is 1457477077. The provider is registered as an organization entity type.

The provider's business location address is:

1225 MCBRIDE AVE
WOODLAND PARK, NJ
ZIP 07424-812
Phone: (973) 783-4112
Fax: (973) 782-4116

The provider's authorized official is Lyubov Iliachine .
The authorized official title is Owner and has the following contact phone number (973) 782-4112.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 9/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	PQGG17	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8797706	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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