Golden Cross Logistics, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

184064 Issued in TN

Legal business name

GOLDEN CROSS LOGISTICS, LLC

Practice address

1211 Bell Rd
Apt 57
Antioch, TN 37013-3774

Phone

(615) 766-7166

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 2015By 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

Darrell Golden

Title

Owner/Operator

Phone

(615) 766-7166

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1790177046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 BELL RD",
            "address_2": "APT 57",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133774",
            "telephone_number": "615-766-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 BELL RD",
            "address_2": "APT 57",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133774",
            "telephone_number": "615-766-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CROSS LOGISTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "615-766-7166"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "184064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000483",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethiopia Worku Gezahagn
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• Mike David Glasmeier, DMD
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• Good Shepherd Pharmacy LLC
• Gopam Inc
• Rachel Benz Grace, FNP-BC
• Joseph Timothy Gragg, OTR/L

• Non-emergency Medical Transport (VAN) in Antioch, TN
• Providers in Antioch, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

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