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GOLDEN AGE SKILLED NURSING & REHAB
NPI 1356428718
Skilled Nursing Facility in Centerville, IA

Active since November 01, 2006CLIA 16D0387174 · Waiver
1915 S 18TH ST, CENTERVILLE, IA 52544(641) 856-2761(641) 856-2762 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golden Age Skilled Nursing & Rehab NPPES

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

GOLDEN AGE SKILLED NURSING & REHAB (NPI 1356428718) is a healthcare organization registered as a skilled nursing facility in Centerville, Iowa and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Stan L Birchem, Owner, as its authorized official.

NPPES Registry Identity

NPI1356428718
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOLDEN AGE, INC.
Location Address1915 S 18TH STCenterville, IA 52544-3102
Mailing Address1915 S 18th StCenterville, IA 52544-3102 · (641) 856-2761 · Fax (641) 856-2762
Phone(641) 856-2761
Fax(641) 856-2762
Organization SubpartNo
Authorized OfficialStan L BirchemOwner · (641) 856-2757
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 4, 2009
✔ NPI 1356428718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in IA · 040983
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedRespite CareTaxonomy 385H00000X · License 040983 (IA)
1915 S 18TH ST, Centerville, IA 52544
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Other Names 1

Doing Business AsGolden Age Skilled Nursing & Rehab

Other Identifiers 4

Other65257IA · Bcbs Provider #
Medicaid0168922IA
Medicaid0809376IA
Medicare OSCAR/certification165257IA

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 16D0387174

Golden Age Care Center · Centerville, IA
Active · expires Aug 31, 2026
CLIA Number16D0387174
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTerri L. Buckallew
Laboratory Phone(641) 856-2757
Laboratory LocationGolden Age Care Center1915 South 18th Street, Centerville, IA 52544
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLDEN AGE PROPERTIES LLC
Skilled Nursing Facility
1915 S 18TH ST
CENTERVILLE, IA 52544
Appanoose County (641) 856-2761

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, Inc.'s NPI number?

The NPI number for Golden Age, Inc. is 1356428718. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Golden Age Skilled Nursing & Rehab.

Where is Golden Age, Inc. located?

Golden Age, Inc. is located at 1915 S 18th St, Centerville, IA 52544. The listed phone number is (641) 856-2761.

What is Golden Age, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Golden Age, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0387174) is associated with this NPI, valid through August 31, 2026. 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 Age, Inc. was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.