Godusi LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3797 Issued in NC

Legal business name

GODUSI LLC

Doing business as

Home Instead Senior Care of Wilmington NC

Practice address

2505 S 17TH St Ste 110
Wilmington, NC 28401-7992

Phone

(910) 342-0455

NPI assigned

Jul 30, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amir Ghoddoussi, MBA

Title

Owner

Phone

(919) 457-3547

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care of Wilmington NC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1003292160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 17TH ST STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017992",
            "telephone_number": "910-342-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 17TH ST STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017992",
            "telephone_number": "910-342-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODUSI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "GHODDOUSSI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-457-3547",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care of Wilmington NC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharine Godfrey, LCSW
• Ryan Godfrey, PT, DPT
• Sean Jerome Godfrey, D.O.
• Kathleen A Godsey, LCSW
• Lakota Godsey, PA-C
• Delayne Godwin, NP
• Madison Parker Godwin, DMD
• Shannon Godwin, FNP-C
• Alexandra Marie Goetjen, MD, PHD
• Amanda Marie Goetz, MD

• In Home Supportive Care Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.