Provider Demographics
NPI:1174335038
Name:GOLDEN AGE COMPANIONS AZ, LLC
Entity type:Organization
Organization Name:GOLDEN AGE COMPANIONS AZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-395-3142
Mailing Address - Street 1:16220 N SCOTTSDALE RD STE 3113
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1781
Mailing Address - Country:US
Mailing Address - Phone:480-463-8384
Mailing Address - Fax:
Practice Address - Street 1:16220 N SCOTTSDALE RD STE 3113
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1781
Practice Address - Country:US
Practice Address - Phone:480-463-8384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care