Organization Active NPI

Gold Team LLC

  • Developmentally Disabled Services Day Training Agency
  • Oklahoma City, OK
National Provider Identifier
1124848205
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GOLD TEAM LLC
Practice address
9210 S Western Ave Ste A21
Oklahoma City, OK 73139-4982
Phone
(678) 777-8038
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Stanley NzuonkwelleNPI 1881944031
Title
Ceo
Phone
(678) 777-8038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X

Addresses

Primary practice location

9210 S Western Ave Ste A21
Oklahoma City, OK 73139-4982

Mailing address

9210 S Western Ave Ste A21
Oklahoma City, OK 73139-4982

National Provider Directory

National Provider Directory

Locations

9210 S Western Ave
Ste A21
Oklahoma City, OK 73139
Phone (405) 703-8755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1124848205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 S WESTERN AVE STE A21",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 S WESTERN AVE STE A21",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394982",
            "telephone_number": "678-777-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "NZUONKWELLE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-777-8038"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.