5888 Golden LLC
Organization Active NPI Skilled Nursing Facility · Jacksonville, FL
NPI 1922581925 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1922581925
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 5888 GOLDEN LLC
- Practice address
- 5888 Blanding Blvd
Jacksonville, FL 32244-1927 - Phone
- (954) 367-4597
- Fax
- (954) 367-4564
- NPI assigned
- Sep 14, 2018
- Organization subpart
- No
Authorized official
- Name
- Marline C Duroseau
- Title
- Cfo
- Phone
- (954) 367-4597
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
5888 Blanding Blvd
Jacksonville, FL 32244-1927
Mailing address
6511 Nova Dr Ste 168
Davie, FL 33317-7401
Phone (813) 956-8090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
Other names
- CROSS SENIOR CARE INC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.