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1031CF PALM COAST MT LLC
NPI 1033897889
Assisted Living Facility in Palm Coast, FL

Active since July 10, 2023
3830 OLD KINGS RD, PALM COAST, FL 32137(386) 307-5445 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 1031cf Palm Coast Mt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1031CF PALM COAST MT LLC (NPI 1033897889), doing business as Gold Choice Palm Coast, is a healthcare organization registered as an assisted living facility in Palm Coast, Florida and active in the NPI registry since July 2023. The organization lists Edward Fernandez, Manager, as its authorized official.

NPPES Registry Identity

NPI1033897889
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name1031CF PALM COAST MT LLC
Location Address3830 OLD KINGS RDPalm Coast, FL 32137-9262
Mailing Address2603 Main St Ste 1050Irvine, CA 92614-4282 · (844) 533-1031
Phone(386) 307-5445
Organization SubpartNo
Authorized OfficialEdward FernandezManager · (844) 533-1031
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1033897889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

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.

3830 OLD KINGS RD, Palm Coast, FL 32137
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Other Names 1

Doing Business AsGold Choice Palm Coast

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1031cf Palm Coast Mt LLC's NPI number?

The NPI number for 1031cf Palm Coast Mt LLC is 1033897889. It was assigned to this organization in the NPPES registry on July 10, 2023. The provider is doing business as Gold Choice Palm Coast.

Where is 1031cf Palm Coast Mt LLC located?

1031cf Palm Coast Mt LLC is located at 3830 Old Kings Rd, Palm Coast, FL 32137. The listed phone number is (386) 307-5445.

What is 1031cf Palm Coast Mt LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for 1031cf Palm Coast Mt LLC was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.