Organization Active NPI

Godia Healthcare Services, Inc.

  • Adult Care Home Facility
  • Apple Valley, MN
National Provider Identifier
1083863351
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GODIA HEALTHCARE SERVICES, INC.
Practice address
14764 Hallmark Dr
Apple Valley, MN 55124-7460
Phone
(952) 220-0647
Fax
(763) 533-4374
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mr. George Onserio Misaro
Title
Adminstrator
Phone
(952) 220-0647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MN Primary

Addresses

Primary practice location

14764 Hallmark Dr
Apple Valley, MN 55124-7460

Mailing address

14764 Hallmark Dr
Apple Valley, MN 55124-7460
Phone (952) 220-0647

National Provider Directory

National Provider Directory
Tax ID family
Godia Health Care Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1083863351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14764 HALLMARK DR",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247460",
            "telephone_number": "952-220-0647",
            "fax_number": "763-533-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14764 HALLMARK DR",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247460",
            "telephone_number": "952-220-0647",
            "fax_number": "763-533-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODIA HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "MISARO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ONSERIO",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "952-220-0647",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.