Organization Active NPI

Goodwill Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1083436661
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOODWILL HOME HEALTH LLC
Practice address
9728 Gilespie St # 15
Las Vegas, NV 89183-7611
Phone
(702) 573-6590
NPI assigned
Oct 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Daryl J Lopez
Title
Management
Phone
(702) 573-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9728 Gilespie St # 15
Las Vegas, NV 89183-7611

Mailing address

9728 Gilespie St # 15
Las Vegas, NV 89183-7611
Phone (702) 573-6590

National Provider Directory

National Provider Directory

Locations

9728 Gilespie St
#15
Las Vegas, NV 89183
Phone (702) 573-6590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1083436661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9728 GILESPIE ST # 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837611",
            "telephone_number": "702-573-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9728 GILESPIE ST # 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837611",
            "telephone_number": "702-573-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "702-573-6590"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.