Organization Active NPI

Goodwill Healthcare Inc

  • In Home Supportive Care Agency
  • Stroudsburg, PA
National Provider Identifier
1043755093
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOODWILL HEALTHCARE INC
Practice address
18 N 7TH St
Stroudsburg, PA 18360-2110
Phone
(570) 664-2211
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Mr. Peter C Onuoha
Title
Administrator
Phone
(908) 531-8036

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 32113601 PA
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

18 N 7TH St
Stroudsburg, PA 18360-2110

Mailing address

216 Pin Oak Rd
Stroudsburg, PA 18360-8330
Phone (908) 531-8036

Other practice location 1

216 Pin Oak Rd
Stroudsburg, PA 18360-8330
Phone (908) 531-8036

Other identifiers 1

IdentifierTypeStateIssuer
103354757MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Goodwill Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18 N 7th St
Stroudsburg, PA 18360
Phone (570) 664-2211

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1043755093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 PIN OAK RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183608330",
            "telephone_number": "908-531-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N 7TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602110",
            "telephone_number": "570-664-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Pin Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183608330",
            "country_code": "US",
            "telephone_number": "908-531-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOODWILL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "ONUOHA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "908-531-8036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "32113601",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103354757",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.