Golden Age Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992369 Issued in FL

Legal business name

GOLDEN AGE HOME HEALTH, INC.

Practice address

10250 SW 56TH St
Suite B203
Miami, FL 33165-7069

Phone

(305) 274-7065

Fax

(305) 274-7058

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Pedro L Montero

Title

Owner

Phone

(305) 274-7065

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1093760852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST",
            "address_2": "SUITE B203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657069",
            "telephone_number": "305-274-7065",
            "fax_number": "305-274-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST",
            "address_2": "SUITE B203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657069",
            "telephone_number": "305-274-7065",
            "fax_number": "305-274-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-274-7065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651360300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA STATE LICENSE NO.",
            "identifier": "299992369",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Age Assisted Living Facility, Corp
• Golden Age Care LLC
• Golden Age Corp
• Golden Age Family Home II
• Golden Age Family Home Inc.
• Golden Age Home Medical Equipment Corp
• Golden Apex Venture Partners LLC
• Golden Butterflies Spa & Rehab Center
• Golden Care Medical Center
• Golden Care Medical Equipment & Supplies, Inc.

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.