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GOLDEN AGE SUPERVISORY HOME
NPI 1245386085
Assisted Living Facility in Eloy, AZ

Active since January 26, 2007
118 E 11TH STREET, ELOY, AZ 85231(520) 466-7885(520) 466-7885 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Golden Age Supervisory Home NPPES

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

GOLDEN AGE SUPERVISORY HOME (NPI 1245386085) is a healthcare organization registered as an assisted living facility in Eloy, Arizona and active in the NPI registry since January 2007. The organization lists Rosa Diaz Campos, Owner Manager, as its authorized official.

NPPES Registry Identity

NPI1245386085
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOLDEN AGE SUPERVISORY HOME
Location Address118 E 11TH STREETEloy, AZ 85231
Mailing Address118 E 11th StreetEloy, AZ 85231 · (520) 466-7885 · Fax (520) 466-7885
Phone(520) 466-7885
Fax(520) 466-7885
Organization SubpartNo
Authorized OfficialRosa Diaz CamposOwner Manager · (520) 466-7885
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245386085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
118 E 11TH STREET, Eloy, AZ 85231
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Other Identifiers 1

Medicaid537847AZ

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 Age Supervisory Home's NPI number?

The NPI number for Golden Age Supervisory Home is 1245386085. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Golden Age Supervisory Home located?

Golden Age Supervisory Home is located at 118 E 11th Street, Eloy, AZ 85231. The listed phone number is (520) 466-7885.

What is Golden Age Supervisory Home's specialty?

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

When was this NPI record last updated?

The NPPES record for Golden Age Supervisory Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.