Golden Retreat-2 Assisted Living Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12488 Issued in FL

Legal business name

GOLDEN RETREAT-2 ASSISTED LIVING FACILITY LLC

Doing business as

Golden Retreat-2 ALF

Practice address

9465 Longmeadow Cir
Boynton Beach, FL 33436-3119

Phone

(561) 234-7723

NPI assigned

Apr 16, 2014

Last updated

Apr 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jacques Augustus Davis, BA, BBA

Title

President

Phone

(561) 234-7723

Specialties & licenses 1

Addresses

Other names 1

• Golden Retreat-2 ALF Doing business as

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1841619962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 LONGMEADOW CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363119",
            "telephone_number": "561-234-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 LONGMEADOW CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363119",
            "telephone_number": "561-234-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RETREAT-2 ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_middle_name": "AUGUSTUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-234-7723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, BBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Retreat-2 ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Boynton Beach, FL
• Providers in Boynton Beach, 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 Apr 16, 2014; 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.