Gloden Swan Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 11654 Issued in FL

Legal business name

GLODEN SWAN ALF, INC.

Practice address

4755 NW 76TH St
Coconut Creek, FL 33073-2706

Phone

(954) 867-8080

NPI assigned

Nov 17, 2009

Last updated

Nov 17, 2009By 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

Mrs. Kathy Vuscan

Title

Owner /Administrator

Phone

(954) 867-8080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1538496229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 NW 76TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732706",
            "telephone_number": "954-867-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 NW 76TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732706",
            "telephone_number": "954-867-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLODEN SWAN ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "VUSCAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER /ADMINISTRATOR",
        "authorized_official_telephone_number": "954-867-8080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 11654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.