Golden Age Adult Center, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 10581 Issued in FL

Legal business name

GOLDEN AGE ADULT CENTER, INC

Practice address

7355 W 12TH Ave
Hialeah, FL 33014-4616

Phone

(305) 824-1046

Fax

(305) 225-1289

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Isabel Camacho

Title

Administrator

Phone

(786) 444-4938

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1962610204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 W 12 AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144616",
            "telephone_number": "305-824-1046",
            "fax_number": "305-824-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144616",
            "telephone_number": "305-824-1046",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ADULT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-444-4938",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142333900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689052100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Going Merry Therapy Services Inc
• Gold Health Institute Corp
• Gold Pharmacy LLC
• Gold Seal Medical, LLC
• Liana Gold, ARNP
• Golden Age Assisted Living Facility III, LLC
• Golden Age Assisted Living Facility IV, LLC
• Golden Age Assisted Living Facility V, LLC
• Golden Age Forever Corp
• Golden Age Home Care, Inc.

• 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 Sep 13, 2013; 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.