Organization Active NPI

Golden Years Senior Care Home LLC

  • Assisted Living Facility
  • Winter Park, FL
National Provider Identifier
1366685281
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11558 Issued in FL
Legal business name
GOLDEN YEARS SENIOR CARE HOME LLC
Practice address
7479 Betty St
Winter Park, FL 32792-7569
Phone
(407) 715-7049
Fax
(407) 622-6489
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Ms. Sandra Lee Cresong
Title
Owner Caregiver
Phone
(407) 715-7049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11558 FL Primary

Addresses

Primary practice location

7479 Betty St
Winter Park, FL 32792-7569

Mailing address

7479 Betty St
Winter Park, FL 32792-7569
Phone (407) 715-7049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1366685281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7479 BETTY ST",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927569",
            "telephone_number": "407-715-7049",
            "fax_number": "407-622-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7479 BETTY ST",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927569",
            "telephone_number": "407-715-7049",
            "fax_number": "407-622-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS SENIOR CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "CRESONG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER CAREGIVER",
        "authorized_official_telephone_number": "407-715-7049",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.