Provider Demographics
NPI:1043041932
Name:GOLDEN AGE TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:GOLDEN AGE TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TWUMASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-832-9798
Mailing Address - Street 1:2531 TILLER LN STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2267
Mailing Address - Country:US
Mailing Address - Phone:614-832-9798
Mailing Address - Fax:
Practice Address - Street 1:2531 TILLER LN STE C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2267
Practice Address - Country:US
Practice Address - Phone:614-832-9798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLDEN AGE HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)