Organization Active NPI

Goodstead LLC

  • In Home Supportive Care Agency
  • Golden Valley, MN
National Provider Identifier
1033096516
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOODSTEAD LLC
Practice address
1405 Lilac Dr N Ste 160F
Golden Valley, MN 55422-4535
Phone
(507) 517-7586
NPI assigned
Aug 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Yonis Abdi Muse
Title
Ceo
Phone
(507) 517-7586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1405 Lilac Dr N Ste 160F
Golden Valley, MN 55422-4535

Mailing address

1405 Lilac Dr N Ste 160F
Golden Valley, MN 55422-4535
Phone (507) 517-7586

Other names 1

  • Goodstead Doing business as

National Provider Directory

National Provider Directory

Locations

1405 Lilac Dr N
Ste 160F
Golden Valley, MN 55422
Phone (612) 201-0566

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1033096516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 160F",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "507-517-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 160F",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "507-517-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODSTEAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "YONIS",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-517-7586"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodstead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.