Safeway Enterprises

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SAFEWAY ENTERPRISES

Doing business as

Renew You Medical Associates

Practice address

7003 Global Dr
Louisville, KY 40258-1977

Phone

(502) 749-0504

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Gerard Golata

Title

Ceo

Phone

(502) 749-0504

Specialties & licenses 1

Addresses

Other names 1

• Renew You Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1295473387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 GLOBAL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402581977",
            "telephone_number": "502-749-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 GLOBAL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402581977",
            "telephone_number": "502-749-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "GOLATA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-749-0504"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew You Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Health Service Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.