Godwin House LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

L06000033171 Issued in FL

Legal business name

GODWIN HOUSE LLC

Practice address

1215 NW 15TH Ave
Ocala, FL 34475-5027

Phone

(352) 620-8988

Fax

(352) 629-5344

NPI assigned

Nov 19, 2008

Last updated

Nov 19, 2008By 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. Rosemary Graham Godwin

Title

Owner

Phone

(352) 484-4131

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1083869994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NW 15TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344755027",
            "telephone_number": "352-620-8988",
            "fax_number": "352-629-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NW 15TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344755027",
            "telephone_number": "352-620-8988",
            "fax_number": "352-629-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODWIN HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-484-4131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "L06000033171",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "L06000033171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690951596",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690951598",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690624996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Daniel Glore, ARNP
• Aysa Glover, RBT
• Hannah Faye Glover, RMHC
• Amanda Glowach, PMHNP
• Yzra Ysabel Jessibet Conde Go, PHARMD
• Neeti Goel, MD
• Kristina Louise Goff, RN
• Anil Kumar Gogineni, M.D.
• Robert Lewis Gold, D.C.
• Harlan Gene Goldberg, DDS

• Developmentally Disabled Services Day Training Agency in Ocala, FL
• Providers in Ocala, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.