Provider Demographics
NPI:1548618341
Name:GOLDEN YEARS DAY CARE INC.
Entity Type:Organization
Organization Name:GOLDEN YEARS DAY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:KIPERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1718-839-3037
Mailing Address - Street 1:966 PINES TERRACE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LKS
Mailing Address - State:NJ
Mailing Address - Zip Code:07417
Mailing Address - Country:US
Mailing Address - Phone:718-839-3037
Mailing Address - Fax:
Practice Address - Street 1:50 SOUTH MUNN AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018
Practice Address - Country:US
Practice Address - Phone:201-349-2635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care