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GOLD CHOICE PALM COAST
NPI 1922617505
Assisted Living Facility in Palm Coast, FL

Active since July 29, 2020
3830 OLD KINGS ROAD, PALM COAST, FL 32137(386) 307-5445 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 20, 2021, Jul 29, 2020 (2 updates tracked since 2020).

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 lists Derick Wayne Deeter, Manager, as its authorized official.

NPPES Registry Identity

NPI1922617505
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePALM COAST ALF MANAGEMENT LLC
Location Address3830 OLD KINGS ROADPalm Coast, FL 32137
Mailing Address269 Kipling CtLake Mary, FL 32746-4124 · (407) 202-0046
Phone(386) 307-5445
Organization SubpartNo
Authorized OfficialDerick Wayne DeeterManager · (407) 202-0046
Enumeration DateJuly 29, 2020
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1922617505 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 ROAD, Palm Coast, FL 32137
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Other Names 1

Doing Business AsGold Choice Palm Coast

Other Identifiers 2

Medicaid110284500FL
Other13591FL · Assisted Living Facility License

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 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.

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.