FL Golden Adult Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

CNA33740 Issued in FL

Legal business name

FL GOLDEN ADULT CARE LLC

Practice address

1686 Rachels Ridge Loop
Ocoee, FL 34761-9000

Phone

(407) 690-9755

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By 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

Nancy Buissereth, CNA

Title

Owner

Phone

(407) 690-9755

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1144624099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 RACHELS RIDGE LOOP",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347619000",
            "telephone_number": "407-690-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 RACHELS RIDGE LOOP",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347619000",
            "telephone_number": "407-690-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL GOLDEN ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "BUISSERETH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-690-9755",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "CNA33740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012188600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lynsey M Fisher
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• Jon-Laurence Michael Fleming
• Florida Autism Center
• Florida Eye Clinic P a
• Florida Golden Adult Care
• Florida Healthcare Management LLLP (Ocoee Healthcare Center)

• Adult Care Home Facility in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.