1031CF Palm Coast Mt LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

1031CF PALM COAST MT LLC

Doing business as

Gold Choice Palm Coast

Practice address

3830 Old Kings Rd
Palm Coast, FL 32137-9262

Phone

(386) 307-5445

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Fernandez

Title

Manager

Phone

(844) 533-1031

Specialties & licenses 1

Addresses

Other names 1

• GOLD CHOICE PALM COAST Doing business as

Tax ID family

1031CF Lake City Mt LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 1031CF Lake City Mt LLC

  dba The Canopy at Harper Lake

  • Assisted Living Facility
  • Lake City, FL
  • NPI 1336903400
  NPD tax ID

Locations

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1033897889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 MAIN ST STE 1050",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144282",
            "telephone_number": "844-533-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 OLD KINGS RD",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379262",
            "telephone_number": "386-307-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1031CF PALM COAST MT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "844-533-1031"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLD CHOICE PALM COAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1 On 1 Health Consultants Inc
• 10 Can, Inc. (The Christian Adventure Network)
• 3001 Palm Coast Parkway Operations LLC (Grand Oaks Health and Rehabilitation Center)
• 33 Chiropractic and Wellness LLC
• A Gentle Care Alf Residence LLC (A Gentle Care Alf Residence # 2)
• A Peace of Mind LLC
• A Place to Grow Pediatric Therapy

• 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 Jul 10, 2023; 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.