Provider Demographics
NPI:1942609581
Name:GOLDEN PALMS CARE CENTER LLC
Entity Type:Organization
Organization Name:GOLDEN PALMS CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-201-3794
Mailing Address - Street 1:2316 52ND TER SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-6930
Mailing Address - Country:US
Mailing Address - Phone:786-201-3794
Mailing Address - Fax:855-847-7647
Practice Address - Street 1:2316 52ND TER SW
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-6930
Practice Address - Country:US
Practice Address - Phone:786-201-3794
Practice Address - Fax:855-847-7647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility