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

Active since December 19, 2014CLIA 50D2293044 · Waiver
48A HUBBARD RD, RIVERSIDE, WA 98849(509) 846-0146(509) 846-0146 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Golden Years NPPES

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

GOLDEN YEARS (NPI 1972901130) is a healthcare organization registered as an adult care home in Riverside, Washington and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Ryan D Holz, Owner, as its authorized official.

NPPES Registry Identity

NPI1972901130
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameGOLDEN YEARS
Location Address48A HUBBARD RDRiverside, WA 98849-9650
Mailing Address48 A Hubbard RoadRiverside, WA 98849 · (509) 846-0146 · Fax (509) 846-0146
Phone(509) 846-0146
Fax(509) 846-0146
Organization SubpartNo
Authorized OfficialRyan D HolzOwner · (509) 846-0146
Enumeration DateDecember 19, 2014
✔ NPI 1972901130 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 WA · 597900
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.
48A HUBBARD RD, Riverside, WA 98849
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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 50D2293044

Golden Years · Riverside, WA
Active · expires Apr 4, 2028
CLIA Number50D2293044
Laboratory TypeAfh
Certificate Effective DateJune 1, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMandy Holz
Laboratory Phone(509) 846-0146
Laboratory LocationGolden Years48 Hubbard Rd, Riverside, WA 98849
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Years's NPI number?

The NPI number for Golden Years is 1972901130. It was assigned to this organization in the NPPES registry on December 19, 2014.

Where is Golden Years located?

Golden Years is located at 48A Hubbard Rd, Riverside, WA 98849. The listed phone number is (509) 846-0146.

What is Golden Years'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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2293044) is associated with this NPI, valid through April 4, 2028. 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 was last updated on December 19, 2014. 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.