Provider Demographics
NPI:1588425102
Name:GOLDEN AGES ASSISTED LIVING
Entity type:Organization
Organization Name:GOLDEN AGES ASSISTED LIVING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BORREGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPN
Authorized Official - Phone:303-669-5497
Mailing Address - Street 1:188 W 81ST PL
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80221-4526
Mailing Address - Country:US
Mailing Address - Phone:303-669-5497
Mailing Address - Fax:
Practice Address - Street 1:17618 E GROUSEBERRY WAY
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4340
Practice Address - Country:US
Practice Address - Phone:303-669-5497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLDEN AGES ASSISTED LIVING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-22
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility