Organization Active NPI

Go Senior Transit, LLC

  • In Home Supportive Care Agency
  • Pompano Beach, FL
National Provider Identifier
1336603398
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GO SENIOR TRANSIT, LLC
Doing business as
GO SENIOR TRANSIT - MOBILE CARE UNIT
Practice address
257 S Cypress Rd Apt 418
Pompano Beach, FL 33060-7032
Phone
(561) 305-1567
NPI assigned
Jan 24, 2019
Organization subpart
Yes
Parent organization
GO SENIOR TRANSIT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Mr. Venel SimonNPI 1407470248
Title
Chief Executive Officer
Phone
(954) 419-8708

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

257 S Cypress Rd Apt 418
Pompano Beach, FL 33060-7032

Mailing address

257 S Cypress Rd Apt 418
Pompano Beach, FL 33060-7032
Phone (954) 419-8708

Other identifiers 2

IdentifierTypeStateIssuer
CNA305408OtherFLFLORIDA BOARD OF NURSING
AHCA235799OtherFLFLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION

Other names 2

  • GO SENIOR TRANSIT - MOBILE CARE UNIT Doing business as
  • VENEL SIMON Other name

National Provider Directory

National Provider Directory
Part of
Go Senior Transit LLC

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": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1336603398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 S CYPRESS RD APT 418",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607032",
            "telephone_number": "954-419-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S CYPRESS RD APT 418",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607032",
            "telephone_number": "561-305-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO SENIOR TRANSIT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GO SENIOR TRANSIT, LLC",
        "enumeration_date": "2019-01-24",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "VENEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "954-419-8708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "CNA305408",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "AHCA235799",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GO SENIOR TRANSIT - MOBILE CARE UNIT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VENEL SIMON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.