NPIMap

Organization Active NPI

Golden Age Transport LLC

  • Private Vehicle
  • South Jordan, UT
National Provider Identifier
1275922312
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
GOLDEN AGE TRANSPORT LLC
Practice address
10757 S River Front Pkwy
#110
South Jordan, UT 84095-3545
Phone
(801) 635-9619
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Alex WinderNPI 1740679885
Title
Owner
Phone
(801) 635-9619

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
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

10757 S River Front Pkwy
#110
South Jordan, UT 84095-3545

Mailing address

10757 S River Front Pkwy
#110
South Jordan, UT 84095-3545
Phone (801) 635-9619

Other names 1

  • Golden Age Transportation LLC Doing business as

National Provider Directory

National Provider Directory

Locations

10757 S River Front Pkwy
Ste 110
South Jordan, UT 84095
Phone (801) 635-9619

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": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1275922312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10757 S RIVER FRONT PKWY",
            "address_2": "#110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953545",
            "telephone_number": "801-635-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10757 S RIVER FRONT PKWY",
            "address_2": "#110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953545",
            "telephone_number": "801-635-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "WINDER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-635-9619"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.