GOLDEN AGE RESIDENCES LLC NPI 1578275913

NPI Information

NPI: 1578275913
Provider Name: GOLDEN AGE RESIDENCES LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1110 SW 40TH AVE
PLANTATION, FL
ZIP 33317
Phone: (954) 583-3321
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GOLDEN AGE RESIDENCES LLC is an assisted living facility in Plantation, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GOLDEN AGE RESIDENCES LLC NPI is 1578275913. The provider is registered as an organization entity type.

The provider's business location address is:

1110 SW 40TH AVE
PLANTATION, FL
ZIP 33317-527
Phone: (954) 583-3321
Fax: (954) 583-8240

The provider's authorized official is Gerlie Comahig .
The authorized official title is Owner and has the following contact phone number (954) 583-3321.

The enumeration date for this NPI number is 12/16/2022 and was last updated on 12/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness			No
2	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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