NPIMap

Organization Active NPI

Golden Age Assisted Living Facility IV, LLC

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1639510779
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8126 Issued in FL
Legal business name
GOLDEN AGE ASSISTED LIVING FACILITY IV, LLC
Practice address
7450 W 14TH CT
Hialeah, FL 33014-3414
Phone
(786) 360-3661
Fax
(786) 360-3661
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Mrs. Zaida Lis Torres
Title
Owner
Phone
(786) 447-6491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8126 FL Primary

Addresses

Primary practice location

7450 W 14TH CT
Hialeah, FL 33014-3414

Mailing address

7450 W 14TH CT
Hialeah, FL 33014-3414
Phone (786) 360-3661

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1639510779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 W 14TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143414",
            "telephone_number": "786-360-3661",
            "fax_number": "786-360-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 W 14TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143414",
            "telephone_number": "786-360-3661",
            "fax_number": "786-360-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ASSISTED LIVING FACILITY IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ZAIDA",
        "authorized_official_middle_name": "LIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-447-6491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.