Golden Age Assisted Living Facility II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10592 Issued in FL

Legal business name

GOLDEN AGE ASSISTED LIVING FACILITY II, LLC

Practice address

14935 SW 297TH St
Homestead, FL 33033-3701

Phone

(786) 404-3172

Fax

(786) 404-3172

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Zaida Lis Torres

Title

Owner

Phone

(786) 447-6491

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1255772398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14935 SW 297TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333701",
            "telephone_number": "786-404-3172",
            "fax_number": "786-404-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14935 SW 297TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333701",
            "telephone_number": "786-404-3172",
            "fax_number": "786-404-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ASSISTED LIVING FACILITY II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ZAIDA",
        "authorized_official_middle_name": "LIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-447-6491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Homestead, FL
• Providers in Homestead, 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 Jul 16, 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.