Good Will Home Association
Organization Active NPI Community/Behavioral Health Agency · Hinckley, ME
NPI 1013450097 · NPPES record last updated Nov 23, 2016
Key facts
- NPI
- 1013450097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 414770 (ME)
- Legal business name
- GOOD WILL HOME ASSOCIATION
- Practice address
- 16 Prescott Drive
Hinckley, ME 04944-0159 - Phone
- (207) 238-4000
- Fax
- (207) 238-4017
- NPI assigned
- Nov 23, 2016
- Organization subpart
- No
Authorized official
- Name
- Donna Ferenc-McGorty
- Title
- VP of Finance/Treasurer
- Phone
- (207) 238-4000
Corporate family (same tax ID) 1
Practitioners 4
-
Katharine Gee, LMSW-CC
-
Cara Lynn Kent, LCPC
-
Tanya Wilkerson, LMSW-CC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2198766 | Good Will-Hinckley | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
- Tax ID family
- Good Will Home Association
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 414770 | ME | Yes |
Addresses
Primary practice location
16 Prescott Drive
Hinckley, ME 04944-0159
Mailing address
PO Box 159
16 Prescott Drive
Hinckley, ME 04944-0159
Phone (207) 238-4000
Other names
- Good Will-Hinckley
Other providers in Hinckley, ME
- Karyn Falco
- Katharine Gee
- Good Will Home Association
- Brittney Ibbitson
- Cara Lynn Kent
- Tanya Wilkerson
All providers in Hinckley, ME · Community/Behavioral Health Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.