Pine Acres Golden Age Centre Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL#6106 Issued in FL

Legal business name

PINE ACRES GOLDEN AGE CENTRE INC.

Practice address

5030 Cub Lake Dr
Apopka, FL 32703-1942

Phone

(407) 298-4973

Fax

(407) 270-7879

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Veronica Henry

Title

Ceo/Owner

Phone

(407) 298-4973

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1790234409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CUB LAKE DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031942",
            "telephone_number": "407-298-4973",
            "fax_number": "407-270-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CUB LAKE DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031942",
            "telephone_number": "407-298-4973",
            "fax_number": "407-270-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE ACRES GOLDEN AGE CENTRE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "407-298-4973",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL#6106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Pierre
• Shirley Pierre
• Viergela Pierre, CNA
• Margaret Pilon
• Brian Thomas Pinckney, LICENSED OPTICIAN
• Belkis Pineyro-Wiggins, M.S., CCC-SLP
• Pinkstone Dental
• Kloe Lin Pinto
• Ashley Plowden
• Natasha Pollard

• Assisted Living Facility in Apopka, FL
• Providers in Apopka, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.