MARINA GOUGOULIAN (NPI# 1740658152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740658152 |
| Entity Type | Individual |
| Full Name | MARINA GOUGOULIAN |
| Practice Address |
1450 S Havana St # 707 Aurora CO 80012-4018 |
| Practice Telephone | 7207487843 |
| Practice Fax Number | 7207482174 |
| Mailing Telephone | 7207487843 |
| Mailing Fax Number | 7207482174 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | 970221188 | CO | Other Service Providers |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
1450 S HAVANA ST # 707 |
| City | AURORA |
| State | CO |
| Zip Code | 80012-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704795 | Steven Matthew Rush | Dentist | 1450 S Havana St, #200, Aurora, CO 80012-4018 | 2005-07-14 |
| 1356875033 | Talent Care Services Group | Home Health | 1450 S Havana St, Suite 305, Aurora, CO 80012-4018 | 2017-04-19 |
| 1235683483 | Nano Inc | Non-emergency Medical Transport (VAN) | 1450 S Havana St, Ste 330, Aurora, CO 80012-4018 | 2016-08-04 |
| 1477913416 | Beacon Home Care | Clinic/Center | 1450 S Havana St, # 707, Aurora, CO 80012-4018 | 2016-03-03 |
| 1346634128 | Continental Home Health, Inc | Home Health | 1450 S Havana St, Suite 808, Aurora, CO 80012-4018 | 2015-03-19 |
| 1487047478 | Access Home Health Care, Inc | Home Health | 1450 S Havana St, 408, Aurora, CO 80012-4018 | 2015-03-14 |
| 1043618416 | Colorado Family Quality Home Care | Home Health | 1450 S Havana St, Suite410, Aurora, CO 80012-4018 | 2014-12-16 |
| 1033540653 | Mercy Akanya Olaka | Counselor | 1450 S Havana St, Suite 230, Aurora, CO 80012-4018 | 2013-12-07 |
| 1710206982 | Pamela Kay Mills | Counselor | 1450 S Havana St, #308, Aurora, CO 80012-4018 | 2010-05-26 |
| 1326372665 | Virginia Nigro | Counselor | 1450 S Havana St, Suite #712, Aurora, CO 80012-4018 | 2009-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095574 | Natasha Lynn Goff | Technician | 5531 Lantz Ridge Rd, Aurora, WV 26705-8593 | 2020-08-31 |
| 1063022010 | Annie Stemple | Technician | 5065 Maple Spring Hwy, Aurora, WV 26705-8251 | 2020-08-05 |
| 1740783968 | George Roberts | Technician | 503 W Aurora Vista Trl, Aurora, TX 76078-4650 | 2018-03-14 |
| 1972021921 | Fatima Abdelmeged | Technician | 2839 S Lansing Way, Aurora, CO 80014-3086 | 2017-08-30 |
| 1477969871 | Deborah A. Harpe | Technician | 581 Emerald Ct, Aurora, OH 44202-7866 | 2014-07-07 |
| 1316279078 | Adriana Wani Henderson | Technician | 10730 E Bethany Dr Ste 125, Aurora, CO 80014-2631 | 2010-02-05 |
| 1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
| 1770628737 | A World of Excellent Home Care, Inc. | Technician | 1450 S Havana St Ste 236, Aurora, CO 80012-4001 | 2007-02-20 |
| 1386251544 | Faith Friend | Technician | 5065 Maple Spring Hwy, Aurora, WV 26705-8251 | 2020-09-30 |
| 1518420207 | Vinh Thiet Pham | Technician | 570 Lansing St, Aurora, CO 80010-4615 | 2019-04-09 |
| Find all providers in AURORA | ||||
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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.