Gold Star Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLD STAR HAVEN LLC

Practice address

110 W Palm Ave
Lake Worth, FL 33467-4828

Phone

(561) 888-6988

NPI assigned

Oct 29, 2026

Last updated

Oct 29, 2026By 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

Ms. Balberitta Jackson

Title

Manager

Phone

(954) 709-0226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1225936149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W PALM AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334674828",
            "telephone_number": "561-888-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W PALM AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334674828",
            "telephone_number": "561-888-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BALBERITTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-709-0226",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lake Worth, FL
• Providers in Lake Worth, 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 Oct 29, 2026; 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.