Provider Profile

GOLDEN AGE ASSISTED LIVING FACILITY, CORP

Assisted Living Facility

FACILITY PROFILE

Street Address
  • 5970 NW 3RD STREET
    MIAMI, FL 33126
    County: Miami-Dade
  • Phone: (305) 200-3156
Mailing Address
  • 5970 NW 3RD STREET
    MIAMI, FL 33126
    County: Miami-Dade
  • Phone: (305) 200-3156
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Facility Information:
Facility/Provider Type:Assisted Living Facility
Administrator:REYNIER RENGIFO
Financial Officer:YANET MATOS
Owner/Licensee:GOLDEN AGE ASSISTED LIVING FACILITY CORP
Owner/Licensee Since:8/31/2012

NamePositionOwnership
YANET MATOSBOARD MEMBER/OFFICER100%
Profit Status:For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:6
Bed Types:Private: 0
Total Capacity: 6
Optional State Supplement: 6
Extended Congregate Care: 0
AHCA Number (File Number):11968393
AHCA Field Office:11
License Number:12292
Current License Effective:2/26/2023
Current License Expires:2/25/2025
License Status:IN REVIEW
Services/Characteristics
Medicaid Services:Assistive Care Services
Activities:Arts and CraftsDancingExercise ClassesGames/CardsGardeningMusic ProgramsShoppingSocial Events/OutingsTheater and Movies
Bed Hold Policy:Facility will hold beds during a temporary absence
Adult Day Care Services:Yes
Continuing Care Retirement Community:No
Languages Spoken:EnglishSpanish
Nurse Availability:None
Payment Forms Accepted:Insurance and/or HMOMedicaidOtherVA
Special Programs and Services:Memory CareOccupational TherapyPhysical TherapySpeech Therapy
Community Residential HomeYes

Please be advised that local zoning authorities may have additional restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration. Contact your local zoning authorities for any specific requirements. See also 419.001 F.S.

Emergency Power Plan Summary
Onsite Alternate Power Source:Portable Generator
Emergency Power Supports:Air ConditioningLightsRefrigeration
Plan Approval:3/16/2018
Implementation Date:6/1/2018
Cooling Method:Air Conditioner
Areas Cooled:Entire Facility
Areas Cooled Location:Within Facility
Square Footage Cooled:1700
Number of People to use Cooled Space:8
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
5/10/20232023007826FineSurvey$1,500.008/8/2023
2/21/20182018007351FineReporting$250.0010/1/2018
2/21/20182018007349FineReporting$500.008/1/2018
12/14/20172018004619FineSurvey$500.0010/5/2018
12/14/20172018004621FineSurvey$2,500.0010/5/2018

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.