Golden Years Behavior Center Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOLDEN YEARS BEHAVIOR CENTER CORP

Doing business as

Golden Health Care

Practice address

12955 SW 42ND St Ste 2
Miami, FL 33175-2928

Phone

(305) 364-5711

Fax

(305) 364-5711

NPI assigned

May 31, 2022

Last updated

Jul 8, 2022By 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

Gleys J Perez Martinez

Title

VP

Phone

(702) 690-0319

Specialties & licenses 1

Addresses

Other names 1

• GOLDEN HEALTH CARE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437898236. Details of each certification follow.

• CCN 684650 Community mental health center · Active · Name & address match · Details

Community mental health center certification: CCN 684650

Legal name

GOLDEN HEALTH CARE

Certification status

Active

Provider type (POS)

Community mental health center

Participating since

Aug 1, 2023

Last certification

Aug 1, 2023

Ownership / control type

For profit – individual

Facility address

12955 SW 42ND St Ste 2
Miami, FL 33175

Tax ID family

Golden Health Care2 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.

• Golden Years Behavioral Center Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1447859137
  NPD tax ID

Locations

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1437898236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752928",
            "telephone_number": "305-364-5711",
            "fax_number": "305-364-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752928",
            "telephone_number": "305-364-5711",
            "fax_number": "305-364-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS BEHAVIOR CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ MARTINEZ",
        "authorized_official_first_name": "GLEYS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "702-690-0319"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MAIL",
            "affiliation": "N",
            "address_1": "12955 SW 42nd St Ste 2",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331752928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GOLDEN HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Golden Touch Care Corp
• Golden Touch Home Care
• Golden Touch Home Care 2
• Golden Touch Nurse Registry Inc.
• Golden Touch Wellness & Spa Center Inc
• Golden Years Behavioral Center Corp
• Golden Years for the Elderly Corp
• Golden Years Group Corp
• Golden Years Paradise, Inc.
• Golden Years Servicing LLC

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.