GOLDSTAR VASCULAR ACCESS, INC


Address: 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030
Phone: 1503516920

GOLDSTAR VASCULAR ACCESS, INC (NPI# 1225568454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225568454
Entity Type Organization
Organization Name GOLDSTAR VASCULAR ACCESS, INC
Practice Address 2870 Ne Hogan Dr
Ste E #205
Gresham
OR 97030
Mailing Address 1871 Se Ironwood Way
Gresham
OR 97080-3002
Practice Telephone 1503516920
Mailing Telephone 15035169205
Enumeration Date 2017-06-20
Last Update Date 2017-06-20
Authorized Official Name MR. DAVID ILNITSKIY (PRESIDENT)
Authorized Official Telephone 5035169205
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251F00000X Home Infusion Agencies
Y 251J00000X Nursing Care Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities GOLDSTAR VASCULAR ACCESS, INC 1871 Se Ironwood Way, Gresham, OR 97080-3002
Oregon Corporations, Companies and Business Names GOLDSTAR VASCULAR ACCESS, INC. 1871 Se Ironwood Way, Gresham, OR 97080

Office Location

Street Address 2870 NE HOGAN DR
STE E #205
City GRESHAM
State OR
Zip Code 97030

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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

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1851957047 Altru Home Care LLC Nursing Care 1345 Olive St., Eugene, OR 97401 2019-05-14
1164995981 Aims Vascular Access, LLC Nursing Care 1859 Rambling Dr, Springfield, OR 97477-2417 2019-01-03
1770096810 Unland LLC Nursing Care 2401 Longwood Dr Apt N, Reedsport, OR 97467-1162 2017-11-12
1386026011 Melissa Sy Nursing Care 15915 Ne Glisan St, Portland, OR 97230 2015-06-18
1447666961 Lafemme & Bebe' Nursing Care 15404 Se River Rd, Milwaukie, OR 97267-2615 2014-07-03
1952749251 Clinical Home Services, LLC Nursing Care 14170 Nw Bordeaux Ln, Portland, OR 97229-7051 2013-06-08
1598031619 Simple Treasures In Home Care, Inc Nursing Care 518 S Wall St, Coos Bay, OR 97420-2731 2012-03-23
1992087183 Because It's There, LLC Nursing Care 10580 Sw Mcdonald St Ste 202, Tigard, OR 97224-4800 2011-09-13
1497057996 Excellence Medical Legal Research & Consulting, LLC Nursing Care 2639 Dover Dr, Eugene, OR 97404-1987 2010-12-03
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Competitor

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City GRESHAM
Zip Code 97030

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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