GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC
NPI 1922644459
Custodial Care Facility - Adult Care Home in Las Vegas, NV
About Golden Years Residential Care Facility, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC (NPI 1922644459), doing business as Golden Years Memory Care Llc, is a healthcare organization registered as an adult care home in Las Vegas, Nevada and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Kristofer Dauz, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 29D2227174
Golden Years Residential Care Llc-Loggers Mill Ave · Las Vegas, NVFrequently 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 Residential Care Facility, LLC's NPI number?
The NPI number for Golden Years Residential Care Facility, LLC is 1922644459. It was assigned to this organization in the NPPES registry on November 19, 2019. The provider is doing business as Golden Years Memory Care LLC.
Where is Golden Years Residential Care Facility, LLC located?
Golden Years Residential Care Facility, LLC is located at 8920 Loggers Mill Ave, Las Vegas, NV 89143. The listed phone number is (702) 202-6475.
What is Golden Years Residential Care Facility, LLC's specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
Does Golden Years Residential Care Facility, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2227174) is associated with this NPI, valid through June 7, 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 Residential Care Facility, LLC was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Golden Years Residential Care Facility, Llc · NPI 1922644459
Adult Care Home organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since November 19, 2019.
## Identity
- **NPI:** 1922644459 (Entity type: Organization)
- **Enumerated:** November 19, 2019
- **Primary specialty:** Custodial Care Facility - Adult Care Home · taxonomy 311ZA0620X
- **Also known as:** Golden Years Memory Care LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kristofer Dauz, ADMINISTRATOR
## Practice location
- **Address:** 8920 LOGGERS MILL AVE, Las Vegas, NV 89143-5423
- **Phone:** (702) 202-6475
## Record status
- **NPPES last updated:** November 19, 2019
- **Other identifiers:** Medicaid 100539474 (NV)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922644459) · Data from the CMS NPPES public registry.