Provider Demographics
NPI:1073262283
Name:GOLDEN FACILITIES AND SERVICES
Entity type:Organization
Organization Name:GOLDEN FACILITIES AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELY
Authorized Official - Middle Name:PASCUA
Authorized Official - Last Name:MABUTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-912-4504
Mailing Address - Street 1:3884 WIVEN PLACE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1958
Mailing Address - Country:US
Mailing Address - Phone:408-912-4504
Mailing Address - Fax:
Practice Address - Street 1:3884 WIVEN PLACE WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1958
Practice Address - Country:US
Practice Address - Phone:408-440-4725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC2067050OtherDRIVER LICENSE