Golden Age Forever Corp

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GOLDEN AGE FOREVER CORP

Practice address

1275 W 47TH PL Ste 409
Hialeah, FL 33012-3451

Phone

(786) 556-9296

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Carlos Antonio Pons LedesmaNPI 1366107906

Title

President

Phone

(786) 556-9296

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Antonio Pons Ledesma

  • Counseling Psychologist
  • Miami, FL
  • NPI 1366107906
  NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1487229647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 409",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123451",
            "telephone_number": "786-556-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 409",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123451",
            "telephone_number": "786-556-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE FOREVER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "PONS LEDESMA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-556-9296"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Gold, ARNP
• Golden Age Adult Center, Inc
• Golden Age Assisted Living Facility III, LLC
• Golden Age Assisted Living Facility IV, LLC
• Golden Age Assisted Living Facility V, LLC
• Golden Age Home Care, Inc.
• Golden Aura Care LLC
• Golden Care Services, LLC
• Golden Era Community Center LLC
• Golden Heart Therapy Services Inc

• Case Management Agency in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.