Organization Active NPI

Golden Age Assisted Living Facility, Corp

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1750629366
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12292 Issued in FL
Legal business name
GOLDEN AGE ASSISTED LIVING FACILITY, CORP
Practice address
5970 NW 3 St
Miami, FL 33126
Phone
(305) 200-3156
Fax
(305) 387-1555
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Lesdier Peraza
Title
Owner
Phone
(786) 803-7323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12292 FL Primary

Addresses

Primary practice location

5970 NW 3 St
Miami, FL 33126

Mailing address

5970 NW 3 St
Miami, FL 33126
Phone (305) 200-3156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1750629366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 NW 3 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-200-3156",
            "fax_number": "305-387-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 NW 3 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-200-3156",
            "fax_number": "305-387-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ASSISTED LIVING FACILITY, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "PERAZA",
        "authorized_official_first_name": "LESDIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-803-7323"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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

Verify at the official NPI Registry.