Active NPI
Golden Life Mental Health Corp
- Community/Behavioral Health Agency
- Doral, FL
National Provider Identifier
1801395322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GOLDEN LIFE MENTAL HEALTH CORP
- Practice address
- 9480 NW 41St St Apt 618
Doral, FL 33178-4960 - Phone
- (305) 600-8044
- NPI assigned
- Feb 10, 2018
- 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
- Jany Colina Perez, RN, MSN
- Title
- President
- Phone
- (305) 600-8044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9480 NW 41St St Apt 618
Doral, FL 33178-4960
Mailing address
9480 NW 41St St Apt 618
Doral, FL 33178-4960
Phone (305) 600-8044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023906000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Golden Life Mental Health Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Doral, FL
- NPI 1508351958
Locations
12001 SW 128th Ct
Ste 106
Miami, FL 33186
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Doral, FL
- NPI 1508446030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630281600000",
"number": "1801395322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9480 NW 41ST ST APT 618",
"city": "DORAL",
"state": "FL",
"postal_code": "331784960",
"telephone_number": "305-600-8044",
"fax_number": "305-489-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 NW 41ST ST APT 618",
"city": "DORAL",
"state": "FL",
"postal_code": "331784960",
"telephone_number": "305-600-8044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN LIFE MENTAL HEALTH CORP",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-10",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A",
"authorized_official_last_name": "COLINA PEREZ",
"authorized_official_first_name": "JANY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-600-8044",
"authorized_official_credential": "RN, MSN"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023906000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.