Golden Age Assisted Living Facility V, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11384 Issued in FL

Legal business name

GOLDEN AGE ASSISTED LIVING FACILITY V, LLC

Practice address

7861 NW 175TH Street
Hialeah, FL 33015-3885

Phone

(305) 400-8976

Fax

(786) 219-4049

NPI assigned

Feb 7, 2015

Organization subpart

No

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

Authorized official

Name

Zailys Obegon Pino

Title

Owner

Phone

(786) 312-4796

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1942691332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7861 NW 175TH STRREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153885",
            "telephone_number": "305-400-8976",
            "fax_number": "786-219-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7861 NW 175TH STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153885",
            "telephone_number": "305-400-8976",
            "fax_number": "786-219-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ASSISTED LIVING FACILITY V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "OBEGON PINO",
        "authorized_official_first_name": "ZAILYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-312-4796"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Seal Medical, LLC
• Liana Gold, ARNP
• Golden Age Adult Center, Inc
• Golden Age Assisted Living Facility III, LLC
• Golden Age Assisted Living Facility IV, LLC
• Golden Age Forever Corp
• Golden Age Home Care, Inc.
• Golden Aura Care LLC
• Golden Care Services, LLC
• Golden Era Community Center LLC

• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, 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 Aug 1, 2022; 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.