GOLDEN RETREAT SHELTER CARE CENTER, INC.
NPI 1245643915
Assisted Living Facility - Assisted Living, Mental Illness in Jacksonville, FL

Q: What is Golden Retreat Shelter Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since June 10, 2014

4410 MONCRIEF RD W, JACKSONVILLE, FL 32209(904) 764-2581 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Golden Retreat Shelter Care Center, Inc. NPPES

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

GOLDEN RETREAT SHELTER CARE CENTER, INC. (NPI 1245643915) is a healthcare organization registered as an assisted living, mental illness in Jacksonville, Florida and active in the NPI registry since June 2014. The organization lists Abdullah Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1245643915

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameGOLDEN RETREAT SHELTER CARE CENTER, INC.

Location Address4410 MONCRIEF RD WJacksonville, FL 32209-1228

Mailing Address4410 Moncrief Rd WJacksonville, FL 32209-1228 · (904) 764-2581

Phone(904) 764-2581

Organization SubpartNo

Authorized OfficialAbdullah ShahOwner · (904) 764-2581

Enumeration DateJune 10, 2014

✔ NPI 1245643915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in FL · AL5846

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

4410 MONCRIEF RD W, Jacksonville, FL 32209

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Other Identifiers 1

Medicaid141158600FL

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 Golden Retreat Shelter Care Center, Inc.'s NPI number?

The NPI number for Golden Retreat Shelter Care Center, Inc. is 1245643915. It was assigned to this organization in the NPPES registry on June 10, 2014.

Where is Golden Retreat Shelter Care Center, Inc. located?

Golden Retreat Shelter Care Center, Inc. is located at 4410 Moncrief Rd W, Jacksonville, FL 32209. The listed phone number is (904) 764-2581.

What is Golden Retreat Shelter Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Golden Retreat Shelter Care Center, Inc. was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.