Golden Memories
Custodial Care Facility, Adult Care Home in Phoenix, AZ. Organization (NPI-2).
Details
- NPI
- 1972899656
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Memories
- Organization subpart
- No
- Enumeration date
- Jun 22, 2011
- Last updated
- Jun 22, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 506154 | AZ | Yes |
Practice location
219 W Villa Theresa DrPhoenix, AZ 85023-6431
Phone 602-547-6992 · Fax 602-978-9376
Mailing address
219 W Villa Theresa DrPhoenix, AZ 85023-6431
Phone 602-547-6992 · Fax 602-978-9376
Authorized official
Maria Cristea
Manager
6025476992
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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