Provider Demographics
NPI:1285464073
Name:GOLDEN CARE FACILITY II LLC
Entity type:Organization
Organization Name:GOLDEN CARE FACILITY II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:L
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-318-7291
Mailing Address - Street 1:5112 EL CLARO CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-2768
Mailing Address - Country:US
Mailing Address - Phone:561-318-7291
Mailing Address - Fax:561-318-7297
Practice Address - Street 1:5112 EL CLARO CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-2768
Practice Address - Country:US
Practice Address - Phone:561-318-7291
Practice Address - Fax:561-318-7297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL13908OtherAHCA