Organization Active NPI

Golden Reach Care

  • Health Service Clinic/Center
  • Columbus, OH
National Provider Identifier
1003149758
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
200924700216 Issued in OH
Legal business name
GOLDEN REACH CARE
Practice address
1110 Morse Rd Ste 206
Columbus, OH 43229-6325
Phone
(614) 592-0224
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mohamud Keyse
Title
Ceo
Phone
(614) 592-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 200924700216 OH Primary

Addresses

Primary practice location

1110 Morse Rd Ste 206
Columbus, OH 43229-6325

Mailing address

1110 Morse Rd Ste 206
Columbus, OH 43229
Phone (614) 592-0224

Other names 1

  • Golden Reach Care Doing business as

National Provider Directory

National Provider Directory

Locations

1110 Morse Rd
Ste 206
Columbus, OH 43229
Phone (614) 592-0224

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1003149758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MORSE RD STE 206",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43229",
            "telephone_number": "614-592-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MORSE RD STE 206",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296325",
            "telephone_number": "614-592-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN REACH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "KEYSE",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-592-0224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "200924700216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Reach Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.