Provider Profile

GOLDEN PALMS-ASSISTED LIVING FACILITY, INC.

Assisted Living Facility

FACILITY PROFILE

Street Address
  • 7280 NW 169 STREET
    MIAMI, FL 33015
    County: Miami-Dade
  • Phone: (305) 826-9261
Mailing Address
  • 7280 NW 169 STREET
    MIAMI, FL 33015
    County: Miami-Dade
  • Phone: (305) 826-9261
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Facility Information:
Facility/Provider Type:Assisted Living Facility
Administrator:EDUARDO PEREZ
Financial Officer:EDUARDO PEREZ
Owner/Licensee:GOLDEN PALMS- ASSISTED LIVING FACILITY, INC.
Owner/Licensee Since:7/26/2006

NamePositionOwnership
EDUARDO PEREZBOARD MEMBER/OFFICER100%
Profit Status:For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:6
Bed Types:Extended Congregate Care: 0
Private: 6
Optional State Supplement: 0
Total Capacity: 6
AHCA Number (File Number):11965572
AHCA Field Office:11
License Number:9930
Current License Effective:10/26/2024
Current License Expires:10/25/2026
License Status:LICENSED
Services/Characteristics
Medicaid Services:Assistive Care Services
Specialty License:Limited Mental Health
Activities:Arts and CraftsDancingExercise ClassesGames/CardsMusic Programs
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:3rd Party 24hr
Payment Forms Accepted:Insurance and/or HMOMedicaidOtherVAWorkers Compensation
Religious Affiliations:AdventistBaptistCatholicOther
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 ConditioningLife Safety SystemsLightsRefrigeration
Plan Approval:10/27/2018
Implementation Date:11/22/2018
Implementation Extended Until:1/1/2019
Cooling Method:Air ConditionerFans
Areas Cooled:Common AreasEntire FacilityLiving room
Areas Cooled Location:Within Facility
Square Footage Cooled:450
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
Change of ownership occurred 7/28/2006

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.