GOLDEN YEARS
NPI 1972901130
Custodial Care Facility - Adult Care Home in Riverside, WA

NPI Status: Active since December 19, 2014

Contact Information

48A HUBBARD RD
RIVERSIDE, WA
ZIP 98849
Phone: (509) 846-0146
Fax: (509) 846-0146

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 50D2293044
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About GOLDEN YEARS

This page provides the complete NPI Profile along with additional information for Golden Years, a provider established in Riverside, Washington operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1972901130 assigned on December 2014. The practitioner's primary taxonomy code is 311ZA0620X with license number 597900 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Ryan D Holz (Owner)

NPI
1972901130
Provider Name
GOLDEN YEARS
Entity Type
Organization
Location Address
48A HUBBARD RD RIVERSIDE, WA 98849
Location Phone
(509) 846-0146
Location Fax
(509) 846-0146
Mailing Address
48 A HUBBARD ROAD RIVERSIDE, WA 98849
Mailing Phone
(509) 846-0146
Mailing Fax
(509) 846-0146
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2014
Last Update Date
12-19-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
597900
License State
WA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RYAN D HOLZ

Authorized Official Title
OWNER
Authorized Official Phone
(509) 846-0146

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2293044
Facility Type
Other - AFH
Certificate Effective Date
November 02, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
MANDY HOLZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Golden Years to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972901130, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 8 + 0 + 2 + 1 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1972901130.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972901130, enumerated as an "organization" on December 19, 2014.

The provider is located at 48A HUBBARD RD RIVERSIDE, WA 98849 and the phone number is (509) 846-0146.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.