Goodwill of Colorado

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04A845 Issued in CO

Legal business name

GOODWILL OF COLORADO

Practice address

1460 Garden of the Gods Rd
Colorado Springs, CO 80907-3414

Phone

(719) 635-4483

Fax

(719) 635-5713

NPI assigned

Oct 1, 2015

Last updated

Jul 31, 2023By 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

Mrs. Karla Grazier, CEO

Title

President and Ceo

Phone

(719) 635-4483

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goodwill Industries of Colorado Springs Former legal business name

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1083084172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 GARDEN OF THE GODS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073414",
            "telephone_number": "719-635-4483",
            "fax_number": "719-635-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 GARDEN OF THE GODS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073414",
            "telephone_number": "719-635-4483",
            "fax_number": "719-635-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "GRAZIER",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "719-635-4483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04A845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "04A845",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Industries of Colorado Springs",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Goodwill Industries of Colorado Springs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John Michael Goodman, DDS
• Maritta Vera Goodman, MA, LMFT
• Mark Goodman
• Tiffany Ruth Goodman, LCSW
• Tara Goodrich
• Goodwill of Colorado (Your Life Your Way)
• Goodwill of Colorado (Journeys)
• Cara Goodwin
• Devra Dawn Goodwin, LCSW
• Joyce Goodwin

• Home Health Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.