GOOD OLE DAYS ADULT LIVING FACILITY LLC (NPI# 1851916951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851916951 |
| Entity Type | Organization |
| Organization Name | GOOD OLE DAYS ADULT LIVING FACILITY LLC |
| Practice Address |
3913 Trovati Street Orlando FL 32839 |
| Practice Telephone | 4072423975 |
| Mailing Telephone | 4072423975 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | MS. KOZETTE KING (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 4072423975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Good Ole Days Adult Living Facility LLC | Doing Business As Name - Organization |
| Good Ole Days ALF | Doing Business As Name - Organization |
| Street Address |
3913 TROVATI STREET |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
| 1851576854 | Taufiq Ahmed | Anesthesiology | 1736 33rd St Ste 100, Orlando, FL 32839 | 2008-01-08 |
| Find all providers in zip 32839 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352159 | Harbor Dr. Phillips Operating, LLC | Assisted Living Facility | 7233 Della Dr, Orlando, FL 32819-5127 | 2020-09-25 |
| 1467061960 | O.s.j. Family Place | Assisted Living Facility | 690 Palmera St, Orlando, FL 32811-8326 | 2020-07-30 |
| 1649888926 | Sweet Home Assisting Living Corp | Assisted Living Facility | 13533 Madison Dock Rd, Orlando, FL 32828-9511 | 2020-07-22 |
| 1023644713 | True Valley Care, LLC | Assisted Living Facility | 935 Lake Sherwood Dr, Orlando, FL 32818-6610 | 2020-03-13 |
| 1699300277 | Rita De Acacias Alf Corp | Assisted Living Facility | 5241 Lima Pl, Orlando, FL 32807-1624 | 2020-03-04 |
| 1356809198 | Medical Foster Homes LLC | Assisted Living Facility | 9670 Lupine Ave, Orlando, FL 32824-8744 | 2019-03-12 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1518465848 | Centy's Alf, Inc | Assisted Living Facility | 3016 Lambath Rd, Orlando, FL 32818-3019 | 2018-02-01 |
| 1922515949 | Bridgeway Alf Corp. | Assisted Living Facility | 13437 Old Dock Rd, Orlando, FL 32828-6197 | 2017-12-29 |
| 1619406881 | Johnetha Berry | Assisted Living Facility | 4543 College Dr, Orlando, FL 32811-4348 | 2017-06-09 |
| Find all providers in ORLANDO | ||||
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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.