# GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Years Memory Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922644459
- **Authorized official:** KRISTOFER DAUZ (ADMINISTRATOR)
- **Authorized official phone:** (702) 480-9021

## Contact information

- **Practice address:** 8920 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5423
- **Practice address phone:** (702) 202-6475
- **Mailing address:** 8920 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2019
- **Last updated:** 11/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100539474 | — | NV |