MEDICARE: GOLDEN RETREAT -4 ASSISTED LIVING FACILITY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1952254922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN RETREAT -4 ASSISTED LIVING FACILITY LLC

Provider Business Mailing Address
First Line	:	1135 NW 19TH TER
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-2545
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9465 LONGMEADOW CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-3119
Country	:	US
Telephone Number	:	561-200-0990
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. ZITA ARISTILDE
Credential	:
Telephone Number	:	561-200-0990

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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