GOLDEN YEARS ASSISTED LIVING CENTER INC. — NPI 1235624305 (Licensed & Credentialed Assisted Living Facility in BORGER, TX)

CMS-1500 Box 24J / 33a • NPI

1235624305

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

310400000X

Licensed & Credentialed Assisted Living Facility

Box 32 Service Location & ZIP+4

100 N BRYAN ST, BORGER, TX, 79007-4010

✓ 9-Digit EDI 837 ZIP+4 (79007-4010)

Practice Phone & Referral Fax

(806) 274-5994

Fax: (806) 274-5992

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1235624305 (GOLDEN YEARS ASSISTED LIVING CENTER INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1235624305` (NPI-2 Organization / Facility)
Provider / Legal Name	GOLDEN YEARS ASSISTED LIVING CENTER INC.
Plain-English Specialty	Licensed & Credentialed Assisted Living Facility NUCC Code: `310400000X` (Assisted Living Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	100 N BRYAN ST, BORGER, TX, 79007-4010
Practice Telephone / Fax	Tel: (806) 274-5994 \| Fax: (806) 274-5992
Administrative Mailing Address	100 N BRYAN ST, BORGER, TX, 79007-4010
Enumeration & Last Sync	Enumerated: 2018-06-29 \| CMS Record Updated: 2018-06-29
Authorized Official	DANYALE GARNER (Assistant Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

100 N BRYAN ST, BORGER, TX, 79007-4010

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Plain-English Taxonomy & CMS Crosswalk (310400000X)

What Does Taxonomy Code 310400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 310400000X translates to:
"Licensed & Credentialed Assisted Living Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Assisted Living Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GOLDEN YEARS ASSISTED LIVING CENTER INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: N/A \| License: `148383` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GOLDEN YEARS ASSISTED LIVING CENTER INC. (NPI #1235624305)