Active NPI
Golden Age at Rodeo Drive
- Assisted Living Facility
- Kissimmee, FL
National Provider Identifier
1447168794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GOLDEN AGE AT RODEO DRIVE
- Practice address
- 2891 Rodeo Dr
Kissimmee, FL 34746-3236 - Phone
- (407) 495-8446
- Fax
- (407) 201-8960
- NPI assigned
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marie Simply Healthcare Lo Lawrence, LAWRENCE
- Title
- Administrator
- Phone
- (407) 495-8446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2891 Rodeo Dr
Kissimmee, FL 34746-3236
Mailing address
2891 Rodeo Dr
Kissimmee, FL 34746-3236
Phone (407) 495-8446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1447168794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2891 RODEO DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463236",
"telephone_number": "407-495-8446",
"fax_number": "407-201-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2891 RODEO DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463236",
"telephone_number": "407-495-8446",
"fax_number": "407-201-8960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN AGE AT RODEO DRIVE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "SIMPLY HEALTHCARE LO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "407-495-8446",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LAWRENCE"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.