Goodcare Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1068L001 Issued in NY

Legal business name

GOODCARE HOME HEALTH SERVICES, INC.

Practice address

1330 Niagara Falls Blvd
Suite 202
Tonawanda, NY 14150-8900

Phone

(716) 833-3445

Fax

(716) 407-0625

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By 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

Mr. Valery P Sandyrev

Title

President/Ceo

Phone

(716) 833-3445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1093998072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NIAGARA FALLS BLVD",
            "address_2": "SUITE 202",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508900",
            "telephone_number": "716-833-3445",
            "fax_number": "716-407-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NIAGARA FALLS BLVD",
            "address_2": "SUITE 202",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508900",
            "telephone_number": "716-833-3445",
            "fax_number": "716-407-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODCARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "SANDYREV",
        "authorized_official_first_name": "VALERY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-833-3445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1068L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02656417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Eric Golden, PT DPT
• Poorna Sudha Goli
• Conor Vincent Gollegly
• Steven Gonser, PT DPT
• Federico Gonzalez-Doldan, M.D.
• Goodcare Medical Supplies
• Shannon Gowen
• Mary Graf
• Rebecca Lynn Graham, FNP-BC
• Kimberly Ann Grande, MS

• Home Health Agency in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.