MEDICARE: GOLDEN DYNASTY RENTAL PROPERTIES 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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1457206435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN DYNASTY RENTAL PROPERTIES LLC

Provider Business Mailing Address
First Line	:	2137 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6134
Country	:	US
Telephone Number	:	800-869-9927
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 WHITE CAP WAY
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-4550
Country	:	US
Telephone Number	:	800-869-9927
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING MEMBER
Name	:	TANESHE ANISKA BENNETT COLEY
Credential	:
Telephone Number	:	800-869-9927

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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