Golden Age Home Care Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN AGE HOME CARE CORP

Practice address

1313 Freeport Dr
Deltona, FL 32725-4647

Phone

(407) 496-3123

Fax

(386) 742-8010

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Yamil A Rivera Texidor

Title

Owner/Administrator

Phone

(407) 496-3123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1881366771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 FREEPORT DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327254647",
            "telephone_number": "407-496-3123",
            "fax_number": "386-742-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 FREEPORT DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327254647",
            "telephone_number": "407-496-3123",
            "fax_number": "386-742-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "RIVERA TEXIDOR",
        "authorized_official_first_name": "YAMIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "407-496-3123"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Gioffre Hughes
• Kilee Glasco
• Lashawn Angelique Glaspie, MSW
• Andrew J Gleason, RN
• Global Medical Solutions Corp
• Amalia Gomez, CPT
• Evelin Gonzalez Fernandez, APRN/FNP
• Lorayne Gonzalez Vazquez
• Alexi Gonzalez
• Alexia Monique Gonzalez

• Assisted Living Facility in Deltona, FL
• Providers in Deltona, 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 29, 2021; 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.