PINE ACRES GOLDEN AGE CENTRE INC. (NPI# 1790234409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790234409 |
| Entity Type | Organization |
| Organization Name | PINE ACRES GOLDEN AGE CENTRE INC. |
| Practice Address |
5030 Cub Lake Dr Apopka FL 32703-1942 |
| Practice Telephone | 4072984973 |
| Practice Fax Number | 4072707879 |
| Mailing Telephone | 4072984973 |
| Mailing Fax Number | 4072707879 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | MRS. VERONICA HENRY (CEO/OWNER) |
| Authorized Official Telephone | 4072984973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL#6106 | FL | Nursing & Custodial Care Facilities |
| Street Address |
5030 CUB LAKE DR |
| City | APOPKA |
| State | FL |
| Zip Code | 32703-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265775076 | Arcadia Enterprises Inc | Assisted Living Facility | 5030 Cub Lake Dr, Apopka, FL 32703-1942 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149449 | Medical Risk Solutions | Family Medicine | 176 E 5th Street, Apopka, FL 32703 | 2020-03-18 |
| 1245798255 | Lp Orlando LLC | Skilled Nursing Facility | 2001 Alston Bay Blvd, Apopka, FL 32703 | 2019-03-08 |
| 1902360522 | Amrita Joshi | Physician Assistant | 5357 Pepperbrush Cove, Apopka, FL 32703 | 2019-01-28 |
| 1568944916 | Shantel Brinnius | Social Worker | 2479 Aloma Ave. 32792, Winter Park, FL 32703 | 2018-09-02 |
| 1306335559 | Tammy Lee Adams | Physical Therapy Assistant | Florida Living Rehab Center, 3355 East Semoran Blvd, Apopka, FL 32703 | 2018-05-03 |
| 1417450222 | Michelle Bravo | Specialist/Technologist | 9309 Redfish Cove, Apopka, FL 32703 | 2018-03-18 |
| 1083123418 | Maximeyes Vision, Inc. | Optometrist | 1500 S Orange Blossom Trail, Apopka, FL 32703 | 2017-09-28 |
| 1609385376 | Cynthia Quinn | Occupational Therapist | 3355 E. Semoran Blvd, Apopka, FL 32703 | 2017-09-26 |
| 1952829558 | Kimberly Powell | Physical Therapy Assistant | 305 E Oak Street, Apopka, FL 32703 | 2017-09-03 |
| 1144748856 | The Hope House of Love Inc | Home Health | 387 Maude Helen Street, Apopka, FL 32703 | 2017-09-01 |
| Find all providers in zip 32703 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372351 | Sunny Days Retirement Home | Assisted Living Facility | 2402 Greenacre Rd, Apopka, FL 32703-7704 | 2020-09-25 |
| 1902389927 | Active Care Assisted Living Facility | Assisted Living Facility | 2436 Lake Jackson Cir, Apopka, FL 32703-5846 | 2018-09-14 |
| 1700254786 | Harblin, LLC | Assisted Living Facility | 1691 Parkglen Cir, Apopka, FL 32712-8162 | 2015-09-09 |
| 1083030522 | Balmy Beach Alf of Florida Inc | Assisted Living Facility | 1030 Balmy Beach Dr, Apopka, FL 32703-5902 | 2014-03-07 |
| 1679901466 | Park Trail Placellc | Assisted Living Facility | 302 N Park Ave, Apopka, FL 32703-4150 | 2013-10-15 |
| 1962849778 | Bear Lake Retirement Home | Assisted Living Facility | 1525 Bear Lake Rd, Apopka, FL 32703-6736 | 2013-06-03 |
| 1265775076 | Arcadia Enterprises Inc | Assisted Living Facility | 5030 Cub Lake Dr, Apopka, FL 32703-1942 | 2013-03-29 |
| 1225371057 | Linda Gokool | Assisted Living Facility | 2402 Greenarce Rd, Apopka, FL 32703-7704 | 2013-03-29 |
| 1528369139 | A Dream Lake Manor Inc | Assisted Living Facility | 750 Alabama Ave, Apopka, FL 32703-5424 | 2010-11-12 |
| 1710200910 | Gilbert Nanan | Assisted Living Facility | 48 E Oak St, Apopka, FL 32703-4141 | 2010-03-02 |
| Find all providers in APOPKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.