Golden Retreat Shelter Care Center, Inc.

LBN: Golden Retreat Shelter Care Center, Inc.
Golden Retreat Shelter Care Center, Inc. is an health care organization with primary practice located at 4410 Moncrief Rd W , Jacksonville FL 32209-1228. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Golden Retreat Shelter Care Center, Inc. can be contacted via phone (904) 764-2581, or through Shah, Abdullah via phone (904) 764-2581.

Contact Information

Primary practice address
4410 Moncrief Rd W Jacksonville FL 32209-1228
Phone: (904) 764-2581
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shah, Abdullah
Phone: (904) 764-2581

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X AL5846 Florida

Profile Details

NPI number 1245643915
LBN Legal business name Golden Retreat Shelter Care Center, Inc.
DBA Doing business as
Authorized official Shah, Abdullah
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2014
Last updated Jun 10th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245643915 NPPES
Florida MEDICAID 141158600

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