Golden Age House Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN AGE HOUSE ASSISTED LIVING LLC

Practice address

102 Rae Dr
Palm Coast, FL 32164-6894

Phone

(386) 237-2026

Fax

(386) 237-2026

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Galyna Lonc

Title

Director

Phone

(386) 237-2026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1285140657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PORT ECHO LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646733",
            "telephone_number": "386-237-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RAE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646894",
            "telephone_number": "386-237-2026",
            "fax_number": "386-237-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOUSE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "LONC",
        "authorized_official_first_name": "GALYNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-237-2026",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Gimbert, D.C.
• Jalen Glasper
• Suzanne Stephanie Glaze, OTD, OTRL, CHT
• Kelsey Agostini Gocking
• Robert Carl Goetsch Jr., RMHCI
• Golden Health Practitioners Inc.
• Golden House Assisted Living Inc.
• Goldenfeet Inc
• Priscilla Goma
• Melisa Gonzalez Garcia

• Assisted Living Facility in Palm Coast, FL
• Providers in Palm Coast, 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 Dec 21, 2017; 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.