GOLDEN AGE TRANSPORT LLC (NPI# 1275922312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275922312 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE TRANSPORT LLC |
| Other Organization Name | GOLDEN AGE TRANSPORTATION LLC |
| Practice Address |
10757 S River Front Pkwy #110 South Jordan UT 84095-3545 |
| Practice Telephone | 8016359619 |
| Mailing Telephone | 8016359619 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | ALEX WINDER (OWNER) |
| Authorized Official Telephone | 8016359619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Other Name | Type Code |
|---|---|
| Golden Age Transportation LLC | Doing Business As Name - Organization |
| Street Address |
10757 S RIVER FRONT PKWY #110 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972045227 | Diversified Home Care LLC | Custodial Care Facility | 10757 S River Front Pkwy, 110, South Jordan, UT 84095-3545 | 2016-11-16 |
| 1740679885 | Alex Winder | Driver | 10757 S River Front Pkwy, #110, South Jordan, UT 84095-3545 | 2015-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174026488 | Pma Care | Private Vehicle | 535 E 4500 S Ste D210, Salt Lake City, UT 84107-2968 | 2018-03-13 |
| 1144634122 | New Start Transport | Private Vehicle | 1828 S 900 W, Lehi, UT 84043-5611 | 2014-06-17 |
| 1851711477 | Adolescent Escort Service | Private Vehicle | 1865 S Cantle Cir, Washington, UT 84780-2121 | 2014-04-22 |
| 1922447614 | Transport Connection, Inc | Private Vehicle | 1216 E 6600 S, Salt Lake City, UT 84121-2451 | 2013-06-17 |
| 1982945945 | Training In Life Choices, L.L.C. | Private Vehicle | 4862 S 3100 W, Roy, UT 84067-9402 | 2013-03-14 |
| 1558608935 | Asklepian Healt and Transportation Service, LLC | Private Vehicle | 3975 S Sheri Way, Salt Lake City, UT 84120-4570 | 2013-01-06 |
| 1356639884 | Tangle Water Non Emergency Medical Transportation | Private Vehicle | 881 E Browns Canyon Rd, Blanding, UT 84511-3320 | 2011-07-18 |
| 1184864613 | Always Homecare Inc. | Private Vehicle | 15 East, 100 North, Annabella, UT 84711-0015 | 2009-02-24 |
| 1760689483 | Salt Lake Transportation Co., LLC | Private Vehicle | 136 South Main Street, Suite 721, Salt Lake City, UT 84101-1676 | 2007-06-27 |
| 1013112853 | Makoff Transportation, LLC | Private Vehicle | 571 E 2100 S, Salt Lake City, UT 84106-1422 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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| 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.