Organization Active NPI

Goodhope Homecare Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tyler, TX
National Provider Identifier
1124012836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0068078 Issued in TX
Legal business name
GOODHOPE HOMECARE INC.
Practice address
13437 Hwy 110 S
Ste 1
Tyler, TX 75707-6374
Phone
(903) 565-0583
Fax
(903) 565-0583
NPI assigned
Sep 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Effiong Sunday Imoh
Title
President
Phone
(903) 565-0583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0068078 TX Primary

Addresses

Primary practice location

13437 Hwy 110 S
Ste 1
Tyler, TX 75707-6374

Mailing address

13437 Hwy 110 S
Ste 1
Tyler, TX 75707-6374
Phone (903) 565-0583

National Provider Directory

National Provider Directory

Locations

13437 Highway 110 S
Ste 1
Tyler, TX 75707
Phone (903) 565-0583

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124012836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13437 HWY 110 S",
            "address_2": "STE 1",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076374",
            "telephone_number": "903-565-0583",
            "fax_number": "903-565-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13437 HWY 110 S",
            "address_2": "STE 1",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076374",
            "telephone_number": "903-565-0583",
            "fax_number": "903-565-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODHOPE HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMOH",
        "authorized_official_first_name": "EFFIONG",
        "authorized_official_middle_name": "SUNDAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-565-0583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0068078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.