MEDICARE: GOLDEN CARE TRANSPORTATION GROUP LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1629919311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN CARE TRANSPORTATION GROUP LLC

Provider Business Mailing Address
First Line	:	1043 GREEN PINE CIR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-2568
Country	:	US
Telephone Number	:	904-422-3597
Fax Number	:

Provider Business Practice Location Address
First Line	:	4521 SAINT AUGUSTINE RD STE 7
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-9532
Country	:	US
Telephone Number	:	904-422-3597
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LISA L SCOTT
Credential	:
Telephone Number	:	904-422-3597

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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