GOLDEN YEARS RESIDENCE - NPI 1245117571 - Assisted Living Facility in Richfield, MN

Q: What is Golden Years Residence's NPI number?

The NPI number for Golden Years Residence is 1245117571. It was assigned to this organization in the NPPES registry on August 19, 2025.

Q: What is Golden Years Residence's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

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About Golden Years Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN YEARS RESIDENCE (NPI 1245117571) is a healthcare organization registered as an assisted living facility in Richfield, Minnesota and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Mohamed S Hamsa, Owner, as its authorized official.

NPPES Registry Identity

NPI1245117571

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGOLDEN YEARS RESIDENCE

Location Address6528 RUSSELL AVE SRichfield, MN 55423-1057

Mailing Address6528 Russell Ave SRichfield, MN 55423-1057 · (612) 930-0000

Phone(612) 930-0000

Organization SubpartNo

Authorized OfficialMohamed S HamsaOwner · (612) 930-0000

Enumeration DateAugust 19, 2025

Last NPPES UpdateAugust 29, 2025

NPPES CertifiedAugust 29, 2025

✔ NPI 1245117571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X

6528 RUSSELL AVE S, Richfield, MN 55423

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2336084

Golden Years Residence · Richfield, MN

Active · expires Dec 22, 2027

CLIA Number24D2336084

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorNafisa S. Hamza

Laboratory Phone(612) 723-6738

Laboratory LocationGolden Years Residence6528 Russell Ave, Richfield, MN 55423

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden Years Residence's NPI number?

The NPI number for Golden Years Residence is 1245117571. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Golden Years Residence located?

Golden Years Residence is located at 6528 Russell Ave S, Richfield, MN 55423. The listed phone number is (612) 930-0000.

What is Golden Years Residence's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Golden Years Residence hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2336084) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden Years Residence was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.