Organization Active NPI

Golden Rose Prestige Living Facility Corp

Doing business as Plantation Senior Living

  • Assisted Living Facility
  • Plantation, FL
National Provider Identifier
1851169130
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN ROSE PRESTIGE LIVING FACILITY CORP
Doing business as
Plantation Senior Living
Practice address
4725 NW 4TH CT
Plantation, FL 33317-2018
Phone
(954) 937-6869
NPI assigned
Dec 15, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Hycenth Allison
Title
Owner
Phone
(954) 937-6869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4725 NW 4TH CT
Plantation, FL 33317-2018

Mailing address

4725 NW 4TH CT
Plantation, FL 33317-2018
Phone (954) 937-6869

Other names 1

  • Plantation Senior Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1851169130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 NW 4TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172018",
            "telephone_number": "954-937-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 NW 4TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172018",
            "telephone_number": "954-937-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ROSE PRESTIGE LIVING FACILITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "HYCENTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-937-6869"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plantation Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.