Golden Age Senior Living Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12378 Issued in FL

Legal business name

GOLDEN AGE SENIOR LIVING CARE, LLC

Practice address

533 Bristol Cir
Kissimmee, FL 34758-4133

Phone

(407) 201-5623

NPI assigned

Aug 5, 2013

Last updated

Aug 5, 2013By 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

Marie Lawrence

Title

MGR

Phone

(407) 201-5623

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1215369947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BRISTOL CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 BRISTOL CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584133",
            "telephone_number": "407-201-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE SENIOR LIVING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-201-5623"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Goetz
• Hira Gohar
• Simone Goldberg Karfunkelstein Lima
• Golden Age at Brentford Court
• Golden Age at Rodeo Drive
• Golden Ages Senior Center LLC
• Golden Haven LLC
• Golden Hearts Home Care LLC
• Golden Legacy Home Health
• Golden Medical & Chiropractic Care, LLC

• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.