Organization Active NPI

Golden Medical Transportation Services

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1457719692
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
22405364 Issued in CO
Legal business name
GOLDEN MEDICAL TRANSPORTATION SERVICES
Doing business as
N/A
Practice address
1450 S Havana St Ste 232
Aurora, CO 80012-4021
Phone
(720) 404-5377
Fax
(303) 693-6553
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Mr. Chuks Idika, MD
Title
Managing Director
Phone
(720) 404-5377

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 22405364 CO
In Home Supportive Care Agency 253Z00000X 22405364 CO Primary
Developmental Disabilities Clinic/Center 261QD1600X 22405364 CO
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Non-emergency Medical Transport (VAN) 343900000X B-09970 CO
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Child Physical Disabilities Respite Care 385HR2065X 22405364 CO

Addresses

Primary practice location

1450 S Havana St Ste 232
Aurora, CO 80012-4021

Mailing address

1450 S Havana St Ste 232
Aurora, CO 80012-4021
Phone (720) 404-5377

Other identifiers 2

IdentifierTypeStateIssuer
21439222MedicaidCO
22405364MedicaidCO

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

Locations

1450 S Havana St
Ste 232
Aurora, CO 80012
Phone (720) 404-5377

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1457719692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 232",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124021",
            "telephone_number": "720-404-5377",
            "fax_number": "303-693-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 232",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124021",
            "telephone_number": "720-404-5377",
            "fax_number": "303-693-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MEDICAL TRANSPORTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "IDIKA",
        "authorized_official_first_name": "CHUKS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "720-404-5377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "22405364",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "22405364",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CO",
            "license": "22405364",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "B-09970",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "CO",
            "license": "22405364",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21439222",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22405364",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.