GOLDEN LIFE ASSISTED LIVING HOME-1
NPI 1558753533
Custodial Care Facility - Adult Care Home in Phoenix, AZ

Q: What is Golden Life Assisted Living Home-1's NPI number?

The NPI number for Golden Life Assisted Living Home-1 is 1558753533. It was assigned to this organization in the NPPES registry on February 27, 2015.

Q: What is Golden Life Assisted Living Home-1's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since February 27, 2015

4113 W HAYWARD AVE, PHOENIX, AZ 85051(602) 332-0780(623) 399-8915 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Golden Life Assisted Living Home-1 NPPES

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

GOLDEN LIFE ASSISTED LIVING HOME-1 (NPI 1558753533) is a healthcare organization registered as an adult care home in Phoenix, Arizona and active in the NPI registry since February 2015. The organization lists Rebecca Siddiqui, Administrator, as its authorized official.

NPPES Registry Identity

NPI1558753533

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameGOLDEN LIFE ASSISTED LIVING HOME-1

Location Address4113 W HAYWARD AVEPhoenix, AZ 85051-5751

Mailing Address4113 W Hayward AvePhoenix, AZ 85051-5751 · (602) 332-0780 · Fax (623) 399-8915

Phone(602) 332-0780

Fax(623) 399-8915

Organization SubpartNo

Authorized OfficialRebecca SiddiquiAdministrator · (602) 332-0780

Enumeration DateFebruary 27, 2015

✔ NPI 1558753533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in AZ · AL8880H

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

4113 W HAYWARD AVE, Phoenix, AZ 85051

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Other Identifiers 1

Medicaid926240AZ

Other Providers at the Same Location NPPES 3

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

REBECCA SIDDIQUI

Custodial Care Facility (Adult Care Home)

4113 W HAYWARD AVE
PHOENIX, AZ 85051

Maricopa County (623) 336-7568

TANG ASSISTED LIVING LLC

Assisted Living Facility

4113 W HAYWARD AVE
PHOENIX, AZ 85051

Maricopa County (480) 240-0278

FAMILY FIRST ASSISTED LIVING DBA GOLDEN LIFE

Assisted Living Facility

4113 W HAYWARD AVE
PHOENIX, AZ 85051

Maricopa County (602) 999-7576

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 Life Assisted Living Home-1's NPI number?

The NPI number for Golden Life Assisted Living Home-1 is 1558753533. It was assigned to this organization in the NPPES registry on February 27, 2015.

Where is Golden Life Assisted Living Home-1 located?

Golden Life Assisted Living Home-1 is located at 4113 W Hayward Ave, Phoenix, AZ 85051. The listed phone number is (602) 332-0780.

What is Golden Life Assisted Living Home-1's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Golden Life Assisted Living Home-1 was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.