MEDICARE: GOLDEN AGE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1104041839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN AGE SERVICES

Provider Business Mailing Address
First Line	:	2432 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1636
Country	:	US
Telephone Number	:	614-332-4655
Fax Number	:

Provider Business Practice Location Address
First Line	:	2432 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1636
Country	:	US
Telephone Number	:	614-332-4655
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MOHAMUD T DALLIN
Credential	:
Telephone Number	:	614-332-4655

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1265173017 — KARLA CORIA FNP-C
Practice Location Address:

4508 38TH ST STE 260
COLUMBUS, NE
68601-1636

Practice Phone: 402-564-0205
Practice Fax: 402-564-2607

1578334504 — HEIDI JEAN ABBOTT CNM
Practice Location Address:

4508 38TH ST STE 260
COLUMBUS, NE
68601-1636

Practice Phone: 402-564-0205
Practice Fax:

1285477406 — ASHLEE BREANNE LACKEY
Practice Location Address:

1636 FRANK RD
COLUMBUS, OH
43223-3734

Practice Phone: 614-377-6749
Practice Fax:

1538057831 — DORIKA CARTER
Practice Location Address:

205 S NAPOLEON AVE
COLUMBUS, OH
43213-1636

Practice Phone: 614-625-5116
Practice Fax:

1689520330 — TASHEEMA SMITH
Practice Location Address:

1460 REPUBLIC AVE
COLUMBUS, OH
43211-1425

Practice Phone: 614-620-4745
Practice Fax:

1326041898 — HEALTHMED PHARMACY
Practice Location Address:

2343 CLEVELAND AVE
COLUMBUS, OH
43211-1611

Practice Phone: 614-263-5052
Practice Fax: 614-263-6775

Directions to “GOLDEN AGE SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.