Provider Demographics
NPI:1881103315
Name:GERIATRIC CARE SPECIALISTS INC
Entity type:Organization
Organization Name:GERIATRIC CARE SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDMINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-888-4223
Mailing Address - Street 1:3156 INVERNESS
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-1816
Mailing Address - Country:US
Mailing Address - Phone:954-888-4223
Mailing Address - Fax:954-888-4223
Practice Address - Street 1:3156 INVERNESS
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33332-1816
Practice Address - Country:US
Practice Address - Phone:954-888-4223
Practice Address - Fax:954-888-4223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7760314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013099200Medicaid