Organization Active NPI

Golden Carriage Retirement Home I Inc

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1396379731
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN CARRIAGE RETIREMENT HOME I INC
Practice address
926 Meller Way
Orlando, FL 32825-3801
Phone
(954) 662-4081
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Natasha Shaw
Title
Owner
Phone
(954) 662-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

926 Meller Way
Orlando, FL 32825-3801

Mailing address

926 Meller Way
Orlando, FL 32825-3801
Phone (954) 662-4081

Other identifiers 1

IdentifierTypeStateIssuer
GOLDENCARRIAGESHAWMedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ORLANDO Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1396379731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MELLER WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253801",
            "telephone_number": "954-662-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MELLER WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253801",
            "telephone_number": "954-662-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARRIAGE RETIREMENT HOME I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-662-4081"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GOLDENCARRIAGESHAW",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ORLANDO",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ORLANDO",
            "address_1": "926 Meller Way",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328253801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.