MEDICARE: GOLDIESCARETRANSPORTATION

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	:	1659253144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDIESCARETRANSPORTATION

Provider Business Mailing Address
First Line	:	1307 BLAIRWOOD AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-6025
Country	:	US
Telephone Number	:	937-694-3335
Fax Number	:

Provider Business Practice Location Address
First Line	:	1955 SHAFTESBURY RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-3817
Country	:	US
Telephone Number	:	937-277-2740
Fax Number	:

Authorized Official
Title or Position	:	NON-MEDICAL TRANSOPRTATION
Name	:	DEMETRIUS LEON YOUNG
Credential	:
Telephone Number	:	937-694-3335

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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Directions to “GOLDIESCARETRANSPORTATION ” Practice Location

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