Goldenage Sanctuary

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9879 Issued in FL

Legal business name

GOLDENAGE SANCTUARY

Doing business as

Gracious Living

Practice address

5600 SW 185TH Way
Southwest Ranches, FL 33332-1401

Phone

(954) 680-1554

Fax

(954) 533-4098

NPI assigned

Sep 5, 2013

Last updated

Sep 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

Mrs. Hazel Patricia Binger

Title

Owner

Phone

(954) 680-1554

Specialties & licenses 1

Addresses

Other names 1

• Gracious Living Doing business as

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1265867576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SW 185TH WAY",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333321401",
            "telephone_number": "954-680-1554",
            "fax_number": "954-533-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SW 185TH WAY",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333321401",
            "telephone_number": "954-680-1554",
            "fax_number": "954-533-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENAGE SANCTUARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "BINGER",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-680-1554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracious Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charline Fontaine
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• Sophia Marie Goetz
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• Deborah Faith Goldmacher, LMHC
• Torrin P. Goodrum, PHARM.D.
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• Her Place, LLC
• Dairenis Hernandez Pardo

• Assisted Living Facility in Southwest Ranches, FL
• Providers in Southwest Ranches, 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 Sep 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.