Organization Active NPI

Golden Abbey Enterprises, Inc

Doing business as Golden Abbey Ormond Beach

  • Assisted Living Facility
  • Ormond Beach, FL
National Provider Identifier
1013359819
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11475 Issued in FL
Legal business name
GOLDEN ABBEY ENTERPRISES, INC
Doing business as
Golden Abbey Ormond Beach
Practice address
1410 Hand Ave
Ormond Beach, FL 32174-8193
Phone
(386) 236-1829
Fax
(386) 236-1833
NPI assigned
Jul 22, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Ms. Imelda Cabitac Lavarias, PHYSICAL THERAPIST
Title
Owner
Phone
(386) 236-1829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11475 FL Primary

Addresses

Primary practice location

1410 Hand Ave
Ormond Beach, FL 32174-8193

Mailing address

1410 Hand Ave
Ormond Beach, FL 32174-8193
Phone (386) 236-1829

Other names 1

  • Golden Abbey Ormond Beach Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1013359819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 HAND AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748193",
            "telephone_number": "386-236-1829",
            "fax_number": "386-236-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 HAND AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748193",
            "telephone_number": "386-236-1829",
            "fax_number": "386-236-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ABBEY ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "LAVARIAS",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "CABITAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-236-1829",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Abbey Ormond Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.