Organization Active NPI

Golden Years Servicing LLC

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1841863867
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOLDEN YEARS SERVICING LLC
Practice address
12700 SW 128TH St Ste 108
Miami, FL 33186-5378
Phone
(786) 332-7745
NPI assigned
Jul 19, 2021
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Carlos EstradaNPI 1003367251
Title
President
Phone
(178) 633-2774

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12700 SW 128TH St Ste 108
Miami, FL 33186-5378

Mailing address

12700 SW 128TH St Ste 108
Miami, FL 33186-5378
Phone (786) 332-7745

National Provider Directory

National Provider Directory
Tax ID family
Golden Years Servicing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12700 SW 128th St
Ste 108
Miami, FL 33186
Phone (786) 332-7745

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1841863867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SW 128TH ST STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865378",
            "telephone_number": "786-332-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW 128TH ST STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865378",
            "telephone_number": "786-332-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS SERVICING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-09-06",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "178-633-2774"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Sep 6, 2023; 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.