Provider Demographics
NPI:1982759528
Name:GOLDENCARE OF WELLINGTON
Entity Type:Organization
Organization Name:GOLDENCARE OF WELLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRU
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-798-0944
Mailing Address - Street 1:13752 YARMOUTH DR
Mailing Address - Street 2:B
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2720
Mailing Address - Country:US
Mailing Address - Phone:561-798-0944
Mailing Address - Fax:561-753-1932
Practice Address - Street 1:13752 YARMOUTH DR
Practice Address - Street 2:B
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-2720
Practice Address - Country:US
Practice Address - Phone:561-798-0944
Practice Address - Fax:561-753-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLALF8323310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility