GOLD CHOICE PALM COAST
NPI 1922617505
Assisted Living Facility in Palm Coast, FL
About Gold Choice Palm Coast NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLD CHOICE PALM COAST (NPI 1922617505) is a healthcare organization registered as an assisted living facility in Palm Coast, Florida and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Derick Wayne Deeter, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2205104
Palm Coast Alf Management LLC · Palm Coast, FLFrequently 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 Palm Coast Alf Management LLC's NPI number?
The NPI number for Palm Coast Alf Management LLC is 1922617505. It was assigned to this organization in the NPPES registry on July 29, 2020. The provider is doing business as Gold Choice Palm Coast.
Where is Palm Coast Alf Management LLC located?
Palm Coast Alf Management LLC is located at 3830 Old Kings Road, Palm Coast, FL 32137. The listed phone number is (386) 307-5445.
What is Palm Coast Alf Management LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Palm Coast Alf Management LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2205104) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Palm Coast Alf Management LLC was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Gold Choice Palm Coast · NPI 1922617505
Assisted Living Facility organization in Palm Coast, Florida. Organization record, active in the CMS NPPES registry since July 29, 2020.
## Identity
- **NPI:** 1922617505 (Entity type: Organization)
- **Enumerated:** July 29, 2020
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Palm Coast Alf Management Llc
- **Organization subpart:** No
- **Authorized official:** Derick Deeter, MANAGER
## Practice location
- **Address:** 3830 OLD KINGS ROAD, Palm Coast, FL 32137
- **Phone:** (386) 307-5445
## Record status
- **NPPES last updated:** May 20, 2021
- **Other identifiers:** Medicaid 110284500 (FL); Other 13591 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922617505) · Data from the CMS NPPES public registry.