Organization Active NPI

Golden Age Home Care of Broward LLC

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1164560116
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992166 Issued in FL
Legal business name
GOLDEN AGE HOME CARE OF BROWARD LLC
Practice address
3350 SW 148TH Ave,
Suite 110
Miramar, FL 33027-3237
Phone
(954) 874-1701
Fax
(954) 874-1704
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Barbara Baez
Title
Administrator
Phone
(305) 824-0355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH19964839 FL
Home Health Agency 251E00000X 299992166 FL Primary

Addresses

Primary practice location

3350 SW 148TH Ave,
Suite 110
Miramar, FL 33027-3237

Mailing address

3350 SW 148TH Ave,
Suite 110
Miramar, FL 33027-3237
Phone (954) 874-1701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1164560116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE,",
            "address_2": "SUITE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273237",
            "telephone_number": "954-874-1701",
            "fax_number": "954-874-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE,",
            "address_2": "SUITE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273237",
            "telephone_number": "954-874-1701",
            "fax_number": "954-874-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOME CARE OF BROWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-824-0355"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HH19964839",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.