Provider Demographics
NPI:1578771713
Name:THE NEW GOLDEN ACRES HOME FOR ADULTS
Entity Type:Organization
Organization Name:THE NEW GOLDEN ACRES HOME FOR ADULTS
Other - Org Name:GOLDEN ACRES HOME FOR ADULTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-356-2440
Mailing Address - Street 1:35 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-7308
Mailing Address - Country:US
Mailing Address - Phone:845-356-2440
Mailing Address - Fax:845-352-9727
Practice Address - Street 1:35 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-7308
Practice Address - Country:US
Practice Address - Phone:845-356-2440
Practice Address - Fax:845-352-9727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01437232Medicaid