GOLDEN AGE GARDEN NURSING HOME (NPI# 1740449834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740449834 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE GARDEN NURSING HOME |
| Other Organization Name | NOVA INFUSION |
| Practice Address |
Hc 67 Box 15513 Fajardo PR 00738-9705 |
| Practice Telephone | 7876139827 |
| Mailing Telephone | 7876139827 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | MR. OMAR ROSA LOPEZ (SUPERVISOR) |
| Authorized Official Telephone | 7878606835 |
| Authorized Official Credential | RN BSN 31904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 31904 | PR | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| NOVA INFUSION | Other Name - Individual/Organization |
| Street Address |
HC 67 BOX 15513 |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738-9705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669973335 | Lluvia De Amor Corp | Nursing Facility/Intermediate Care Facility | 108 Calle Diez De Andino, San Juan, PR 00911-2121 | 2018-02-27 |
| 1942614789 | Ambassador Veterans Services of Puerto Rico | Nursing Facility/Intermediate Care Facility | Carretera 592 Km 5.6, Bo. Amuelas #115, Juana Diaz, PR 00795-2409 | 2014-06-19 |
| 1578835591 | Aps Health Care | Nursing Facility/Intermediate Care Facility | State Rd 121 Pm 13.3 Setro 4 Calles, Central Professional Belsur, Yauco, PR 00698 | 2012-02-07 |
| 1780952713 | Tu Mejor Temporada | Nursing Facility/Intermediate Care Facility | Calle Sonia Aj8 Villa Rica, Bayamon, PR 00959 | 2011-12-05 |
| 1023313053 | Mar Billing | Nursing Facility/Intermediate Care Facility | Hc 44 Box 12959, Cayey, PR 00736-9741 | 2011-01-23 |
| 1902135288 | G&g Administrative Services LLC | Nursing Facility/Intermediate Care Facility | Carr 844 Km 4.6 Kamino Pedro Angulo, San Juan, PR 00986 | 2009-12-15 |
| 1942432695 | Grupo De Servicios Medicos Cdv | Nursing Facility/Intermediate Care Facility | 115 Carr 592, Bo. Amuelas, Juana Diaz, PR 00795-2409 | 2009-08-13 |
| 1790932549 | Bridges for Health, Inc. | Nursing Facility/Intermediate Care Facility | 115 Carr 592 # Sr, Juana Diaz, PR 00795-2409 | 2008-08-23 |
| 1235392846 | Hatillo Nursing Home Inc | Nursing Facility/Intermediate Care Facility | Carr #487 Km 0.3, Hatillo, PR 00659 | 2008-07-03 |
| 1508035155 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | Bo. Lomas, Carr 186 Km 4 Hm 0, Canovanas, PR 00729-9782 | 2008-02-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.