Golden House Assisted Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11494 Issued in FL

Legal business name

GOLDEN HOUSE ASSISTED LIVING INC.

Practice address

102 Rae Dr
Palm Coast, FL 32164-6894

Phone

(386) 437-1122

NPI assigned

Nov 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gabriela Pellosmaa

Title

President

Phone

(386) 437-1122

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1013219419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 DEGAS AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815011",
            "telephone_number": "386-437-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RAE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646894",
            "telephone_number": "386-437-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HOUSE ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "PELLOSMAA",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-437-1122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Stephanie Glaze, OTD, OTRL, CHT
• Kelsey Agostini Gocking
• Robert Carl Goetsch Jr., RMHCI
• Golden Age House Assisted Living LLC
• Golden Health Practitioners Inc.
• Goldenfeet Inc
• Priscilla Goma
• Melisa Gonzalez Garcia
• Johanna Gonzalez, RPH
• Luis Enrique Gonzalez, MD

• Assisted Living Facility in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.