Golden Age at Brentford Court

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN AGE AT BRENTFORD COURT

Practice address

516 Brentford CT
Kissimmee, FL 34758-4118

Phone

(407) 201-2486

Fax

(407) 201-8960

NPI assigned

Feb 20, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Marie Lawrence

Title

Administrator

Phone

(407) 495-8446

Specialties & licenses 1

Addresses

Electronic endpoints 4

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613779200000",
    "number": "1154914182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BRENTFORD CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584118",
            "telephone_number": "407-201-2486",
            "fax_number": "407-201-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BRENTFORD CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584118",
            "telephone_number": "407-201-2486",
            "fax_number": "407-201-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE AT BRENTFORD COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-495-8446",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marie@goldenageseniorliving.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "516 Brentford Ct",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347584118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marie@goldenageseniorliving.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "516 Brentford Ct",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347584118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marie@goldenageseniorliving.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "516 Brentford Ct",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347584118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marie@goldenageseniorliving.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "516 Brentford Ct",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347584118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.