Goodwill Health Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOODWILL HEALTH CARE LLC

Doing business as

Goodwill Hospice

Practice address

6655 W Sahara Ave Ste 113-114
Las Vegas, NV 89146-0842

Phone

(615) 713-7465

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edsel Gay Martinez, REGISTERED NURSE

Title

Administrator

Phone

(808) 783-3278

Specialties & licenses 1

Addresses

Other names 1

• Goodwill Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053176461. Details of each certification follow.

• CCN 291720 Hospice · Active · Details

Hospice certification: CCN 291720

Legal name

GOODWILL HEALTH CARE LLC

Doing business as

GOODWILL HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 8, 2025

Last certification

Jul 29, 2025

Organization structure

LLCProprietary

Enrollment address

6655 W Sahara Avenue
Suite B200-113,114
Las Vegas, NV 89146

Listed as

Goodwill HospiceCCN 291720 · All quality measures

Certified

Aug 8, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Madel Lumbres, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1720353097

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Don Costa

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1366205775

  Hospice Care, Community Based

  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Madel Lumbres, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1720353097

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1053176461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 MACOBY RUN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482628",
            "telephone_number": "615-713-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE 113-114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460842",
            "telephone_number": "615-713-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EDSEL GAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-783-3278",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cedraya Goodson
• Donald Goodson
• Mycheal Goodson
• Tina L Goodson, M.D.
• Maangelica Goodstein, P.T, DPT, PA-C
• Goodwill Home Health LLC
• Goodwill Pharmacy Inc.
• Goodwill Ventures Inc (Rainbow Connections Group Care Home)
• Ellen Goodwill
• Alexis Marie Goodwin

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.