Provider Demographics
NPI:1013778752
Name:GOLDEN AGERS LLC
Entity type:Organization
Organization Name:GOLDEN AGERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:RAMEEZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-270-8387
Mailing Address - Street 1:1775 TYSONS BLVD
Mailing Address - Street 2:
Mailing Address - City:TYSONS
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4284
Mailing Address - Country:US
Mailing Address - Phone:703-270-8387
Mailing Address - Fax:
Practice Address - Street 1:1775 TYSONS BLVD
Practice Address - Street 2:
Practice Address - City:TYSONS
Practice Address - State:VA
Practice Address - Zip Code:22102-4284
Practice Address - Country:US
Practice Address - Phone:703-270-8387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care