GOLDEN VILLA CENTER INC. – NPI #1053528026
Clinic/Center

GOLDEN VILLA CENTER INC. is an AHC clinic located in PONCA CITY, OK. NPPES has assigned the NPI number 1053528026 to GOLDEN VILLA CENTER INC. on May 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 3 years ago on May 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOLDEN VILLA CENTER INC. below.

NPI Profile for
GOLDEN VILLA CENTER INC.

NPI Number
1053528026
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOLDEN VILLA CENTER INC.
Primary location
100 EAST HARTFORD AVE.
PONCA CITY, OK 74601
Phone: (580) 762-0264 Fax: (580) 762-0420
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA HOCKENBURY
EXECUTIVE DIRECTOR
Phone: (580) 762-0264
Updated
Certification Date
May 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
251C00000X
- Day Training, Developmentally Disabled Services

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.