Golden Success

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

688758996 Issued in FL

Legal business name

GOLDEN SUCCESS

Practice address

4719 NE 32ND LN
Silver Springs, FL 34488-8716

Phone

(352) 342-0037

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Ebony Davis

Title

Owner

Phone

(352) 342-0037

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1497046940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 NE 32ND LN",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344888716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 NE 32ND LN",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344888716",
            "telephone_number": "352-342-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-342-0037"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "688758996",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "688758998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688758998",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688758996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas J Davies, MD
• Juliana Amorim Davis
• Bassem Adel Elseify
• David Fulton
• Laurie Maria Glenn, OTR/L
• Elizabeth Anne Goodman, LMHC
• Kenneth David Hansen, O.D.
• Vanessa Bruno Hinklein, MA, LMHC, MCAP
• Holiday CVS LLC
• Institute 4 Wellness, Inc

• Developmentally Disabled Services Day Training Agency in Silver Springs, FL
• Providers in Silver Springs, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.