Golden Age Family Home Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11653 Issued in FL

Legal business name

GOLDEN AGE FAMILY HOME INC.

Practice address

4701 SW 117TH Ave
Miami, FL 33175-1713

Phone

(305) 370-2597

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Maite Mompie

Title

President

Phone

(305) 370-2597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1871827170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751713",
            "telephone_number": "305-370-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751713",
            "telephone_number": "305-370-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE FAMILY HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "MOMPIE",
        "authorized_official_first_name": "MAITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-370-2597"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Age Alf VI LLC
• Golden Age Assisted Living Facility, Corp
• Golden Age Care LLC
• Golden Age Corp
• Golden Age Family Home II
• Golden Age Home Health, Inc.
• Golden Age Home Medical Equipment Corp
• Golden Apex Venture Partners LLC
• Golden Butterflies Spa & Rehab Center
• Golden Care Medical Center

• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Sep 21, 2009; 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.