NPIMap

Organization Active NPI

Golden Manor Assisted Living Facility 1

  • Assisted Living Facility
  • Hollywood, FL
National Provider Identifier
1366752834
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8756 Issued in FL
Legal business name
GOLDEN MANOR ASSISTED LIVING FACILITY 1
Practice address
2003 Fletcher STR
Hollywood, FL 33020
Phone
(954) 926-7937
Fax
(954) 926-7908
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Ms. Malgorzata Bickers
Title
Owner/Manager
Phone
(954) 926-7937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8756 FL Primary

Addresses

Primary practice location

2003 Fletcher STR
Hollywood, FL 33020

Mailing address

2003 Fletcher STR
Hollywood, FL 33020
Phone (954) 926-7937

National Provider Directory

National Provider Directory
Tax ID family
Golden Manor Assisted Living Facility 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1366752834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 FLETCHER STR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-926-7937",
            "fax_number": "954-926-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 FLETCHER STR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-926-7937",
            "fax_number": "954-926-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MANOR ASSISTED LIVING FACILITY 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "BICKERS",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "954-926-7937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.