GOLDEN AGE FACILITY LLC (NPI# 1922612365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922612365 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE FACILITY LLC |
| Practice Address |
4120 Kirkland Ln Lake Worth FL 33461-5326 |
| Practice Telephone | 5616192925 |
| Practice Fax Number | 5616192925 |
| Mailing Telephone | 5616192925 |
| Mailing Fax Number | 5616192925 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | PEDRO L REYES (OWNER) |
| Authorized Official Telephone | 5613713312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
4120 KIRKLAND LN |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| 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 |
|---|---|---|---|---|
| 1144887977 | Mediterranean Alf | Assisted Living Facility | 4427 Mediterranean Rd, Lake Worth, FL 33461-1771 | 2019-05-28 |
| 1255873097 | Path of Life of Lake Worth | Assisted Living Facility | 87 W Rubber Tree Dr, Lake Worth, FL 33467-4840 | 2016-11-10 |
| 1811449242 | K and L Loving Care Corporation | Assisted Living Facility | 3150 Windward Ln, Lake Worth, FL 33462-3783 | 2016-11-02 |
| 1679947733 | Shirley House Alf,inc | Assisted Living Facility | 1422 Shirley Ct, Lake Worth, FL 33461-6015 | 2015-11-30 |
| 1194192146 | Hibiscus Palace Alf | Assisted Living Facility | 1755 14th Ave N, Lake Worth, FL 33460-1722 | 2015-08-25 |
| 1558743278 | Superior Elder Care, LLC | Assisted Living Facility | 39 Ohio Rd, Lake Worth, FL 33467-3825 | 2015-06-19 |
| 1780092551 | Caring Hearts Ahs Inc | Assisted Living Facility | 5720 Fearnley Rd, Lake Worth, FL 33467-6436 | 2014-07-24 |
| 1205242989 | Sunrise Adult Care Inc | Assisted Living Facility | 4102 Cooley Ct, Lake Worth, FL 33461-4312 | 2014-07-02 |
| 1972936029 | Noble Cove | Assisted Living Facility | 110 W Palm Ave, Lake Worth, FL 33467-4828 | 2013-08-13 |
| 1003251067 | Casa Bella Home Care Inc | Assisted Living Facility | 7390 Woodland Creek Ln, Lake Worth, FL 33467-6540 | 2013-05-05 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on GOLDEN AGE FACILITY LLC.
| 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.