Provider Demographics
NPI:1780561746
Name:GOLDEN SENIOR CARE
Entity type:Organization
Organization Name:GOLDEN SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ABAD MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-910-7676
Mailing Address - Street 1:PO BOX 360530
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0530
Mailing Address - Country:US
Mailing Address - Phone:787-910-7676
Mailing Address - Fax:
Practice Address - Street 1:1055 MARGINAL KENNEDY
Practice Address - Street 2:BLDG. STE 707-C
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-910-7676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp