Active NPI
Golden Age Home Assistance LLC
- Attendant Care Provider
- Greenacres, FL
National Provider Identifier
1710803523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- GOLDEN AGE HOME ASSISTANCE LLC
- Practice address
- 2224 S Jog Rd
Greenacres, FL 33415-6101 - Phone
- (561) 552-3510
- NPI assigned
- Jun 25, 2026
- Last updated
- Jun 25, 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
- Maryan Gomez de la Osa
- Title
- Owner
- Phone
- (786) 580-6815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | NU | Primary |
Addresses
Primary practice location
2224 S Jog Rd
Greenacres, FL 33415-6101
Mailing address
2224 S Jog Rd
Greenacres, FL 33415-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30213167 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Behavior Technician
- West Palm Beach, FL
- NPI 1851038814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1710803523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 S JOG RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334156101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 S JOG RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334156101",
"telephone_number": "561-552-3510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN AGE HOME ASSISTANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "GOMEZ DE LA OSA",
"authorized_official_first_name": "MARYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-580-6815"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "30213167",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.