Active NPI
Goodhope Homecare Inc.
- Durable Medical Equipment & Medical Supplies
- Tyler, TX
National Provider Identifier
1124012836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0068078
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.