Organization Active NPI

Golden Touch Assisted Living Facility, LLC

  • Assisted Living Facility
  • Orange City, FL
National Provider Identifier
1861910325
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL13047 Issued in FL
Legal business name
GOLDEN TOUCH ASSISTED LIVING FACILITY, LLC
Doing business as
Golden Touch Assisted Living Facility, LLC
Practice address
1362 N Sparkman Ave
Orange City, FL 32763-3711
Phone
(386) 337-4090
Fax
(386) 774-6493
NPI assigned
Sep 5, 2017
Organization subpart
Yes
Parent organization
GOLDEN TOUCH ASSISTED LIVING FACILITY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Authorized official

Name
Mrs. Debbie Hansrajdai Matusik
Title
Administrator
Phone
(386) 337-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL13047 FL Primary

Addresses

Primary practice location

1362 N Sparkman Ave
Orange City, FL 32763-3711

Mailing address

1580 Peterson Rd
Orange City, FL 32763-8723
Phone (386) 337-4090

Other names 1

  • Golden Touch Assisted Living Facility, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Golden Touch Assisted Living Facility LLC

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1861910325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 PETERSON RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638723",
            "telephone_number": "386-337-4090",
            "fax_number": "386-774-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 N SPARKMAN AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633711",
            "telephone_number": "386-337-4090",
            "fax_number": "386-774-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TOUCH ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN TOUCH ASSISTED LIVING FACILITY, LLC",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "MATUSIK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "HANSRAJDAI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-337-4090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Touch Assisted Living Facility, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.