Golden Years Senior Activity Center Corp.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9274 Issued in FL

Legal business name

GOLDEN YEARS SENIOR ACTIVITY CENTER CORP.

Practice address

1133 Bal Harbor Blvd
Ste 1135
Punta Gorda, FL 33950-6577

Phone

(941) 655-8736

NPI assigned

Jul 17, 2013

Last updated

Oct 3, 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

Carlos J Morejon

Title

President/Owner

Phone

(941) 655-8736

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1205277373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 BAL HARBOR BLVD",
            "address_2": "STE 1135",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339506577",
            "telephone_number": "941-655-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 BAL HARBOR BLVD",
            "address_2": "STE 1135",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339506577",
            "telephone_number": "941-655-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS SENIOR ACTIVITY CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "MOREJON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "941-655-8736"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9274",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "FL",
            "license": "233661",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "233661",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "FL",
            "license": "233661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janaina Fernandes Gequelin, CRNA
• Cassandra Josefina Gilbert
• Marlenis Ginarte, ARNP
• Chris Gleason, RPH
• Brinda Gnanashanmugam, M.D
• Linda B Goodwin, OTR L
• David Goranson, PT
• Gordon L. Rodetsky
• Stefan Grabhofer, PHARMD
• Joyce A. Grace Leichliter, D.C.

• Adult Day Care Clinic/Center in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.