Golden Age Assisted Living Facility III, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN AGE ASSISTED LIVING FACILITY III, LLC

Practice address

2793 W 72ND St
Hialeah, FL 33016-5439

Phone

(305) 362-5264

Fax

(305) 362-5264

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Zaida Lis Torres

Title

Owner

Phone

(786) 447-6491

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1083055123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165439",
            "telephone_number": "305-362-5264",
            "fax_number": "305-362-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165439",
            "telephone_number": "305-362-5264",
            "fax_number": "305-362-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ASSISTED LIVING FACILITY III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ZAIDA",
        "authorized_official_middle_name": "LIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-447-6491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, 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 16, 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.