Organization Active NPI

Golden Heart Trans LLC

  • Non-emergency Medical Transport (VAN)
  • El Mirage, AZ
National Provider Identifier
1396299467
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
D02901838 Issued in AZ
Legal business name
GOLDEN HEART TRANS LLC
Practice address
11939 W Columbine Dr
El Mirage, AZ 85335-3369
Phone
(623) 476-2243
Fax
(623) 476-5646
NPI assigned
Aug 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Carlos Javier Villicana Tapia
Title
Owner/Presiddent
Phone
(623) 606-1907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X D02901838 AZ Primary

Addresses

Primary practice location

11939 W Columbine Dr
El Mirage, AZ 85335-3369

Mailing address

11939 W Columbine Dr
El Mirage, AZ 85335-3369
Phone (623) 476-2243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1396299467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 W COLUMBINE DR",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353369",
            "telephone_number": "623-476-2243",
            "fax_number": "623-476-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11939 W COLUMBINE DR",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353369",
            "telephone_number": "623-476-2243",
            "fax_number": "623-476-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "VILLICANA TAPIA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER/PRESIDDENT",
        "authorized_official_telephone_number": "623-606-1907"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "D02901838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.