GOMGOM SIREGAR
NPI 1043664907
Home Health Aide in Centennial, CO

Q: What is Gomgom Siregar's NPI number?

The NPI number for Gomgom Siregar is 1043664907. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Q: What is Gomgom Siregar's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Gomgom Siregar was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2016

5235 S LIVERPOOL WAY, CENTENNIAL, CO 80015(720) 998-6372 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gomgom Siregar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOMGOM SIREGAR (NPI 1043664907) is an individual home health aide in Centennial, Colorado and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1043664907

Entity TypeIndividualMale

Primary Taxonomy374U00000X

Provider Legal NameGOMGOM SIREGAR

Location Address5235 S LIVERPOOL WAYCentennial, CO 80015

Mailing Address5235 S Liverpool WayCentennial, CO 80015

Phone(720) 998-6372

Sole ProprietorNo

Enumeration DateApril 18, 2016

✔ NPI 1043664907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

5235 S LIVERPOOL WAY, Centennial, CO 80015

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Other Identifiers 1

Medicaid87637065CO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERLIN SIREGAR

Community Health Worker

5235 S LIVERPOOL WAY
CENTENNIAL, CO 80015

Arapahoe County (720) 244-6992

GABRIEL ASSISTED LIVING

Assisted Living Facility

5235 S LIVERPOOL WAY
CENTENNIAL, CO 80015

Arapahoe County (303) 954-0531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gomgom Siregar's NPI number?

The NPI number for Gomgom Siregar is 1043664907. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Gomgom Siregar located?

Gomgom Siregar practices at 5235 S Liverpool Way, Centennial, CO 80015. The listed phone number is (720) 998-6372.

What is Gomgom Siregar's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Gomgom Siregar was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.