Provider Demographics
NPI:1013377100
Name:GOLDEN TIME PERSONAL CARE, INC
Entity Type:Organization
Organization Name:GOLDEN TIME PERSONAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAZARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-369-6680
Mailing Address - Street 1:12835 E ARAPAHOE RD STE 1-330
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6723
Mailing Address - Country:US
Mailing Address - Phone:303-369-6680
Mailing Address - Fax:303-369-6681
Practice Address - Street 1:12835 E ARAPAHOE RD STE 1-330
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-6723
Practice Address - Country:US
Practice Address - Phone:303-369-6680
Practice Address - Fax:303-369-6681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10O620251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57655278Medicaid