Organization Active NPI

5888 Golden LLC

Doing business as Cross Senior Care Inc

  • Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1922581925
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
5888 GOLDEN LLC
Doing business as
Cross Senior Care Inc
Practice address
5888 Blanding Blvd
Jacksonville, FL 32244-1927
Phone
(954) 367-4597
Fax
(954) 367-4564
NPI assigned
Sep 14, 2018
Last updated
Aug 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Marline C Duroseau
Title
Cfo
Phone
(954) 367-4597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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 names 1

  • CROSS SENIOR CARE INC 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": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1922581925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 NOVA DR STE 168",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177401",
            "telephone_number": "813-956-8090",
            "fax_number": "954-367-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441927",
            "telephone_number": "954-367-4597",
            "fax_number": "954-367-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5888 GOLDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "DUROSEAU",
        "authorized_official_first_name": "MARLINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-367-4597"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSS SENIOR CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.