NPIMap

Organization Active NPI

Goodwill Industries of Central Indiana, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Shelbyville, IN
National Provider Identifier
1184836090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GOODWILL INDUSTRIES OF CENTRAL INDIANA, INC.
Practice address
707 E State Road 44
Shelbyville, IN 46176-1756
Phone
(317) 398-6183
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Jim Humphrey
Title
Vice President of Workforce Service
Phone
(317) 524-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IN Primary

Addresses

Primary practice location

707 E State Road 44
Shelbyville, IN 46176-1756

Mailing address

1635 W Michigan St
Indianapolis, IN 46222-4389
Phone (317) 524-4313

National Provider Directory

National Provider Directory
Tax ID family
Goodwill Industries of Central Indiana Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

707 E State Road 44
Shelbyville, IN 46176
Phone (317) 398-6183

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184836090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 W MICHIGAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462224389",
            "telephone_number": "317-524-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E STATE ROAD 44",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761756",
            "telephone_number": "317-398-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF CENTRAL INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VICE PRESIDENT OF WORKFORCE SERVICE",
        "authorized_official_telephone_number": "317-524-4204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

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.