Goodfaith Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOODFAITH MEDICAL SUPPLY INC

Practice address

6500 Brooklyn Blvd
Suite 103
Brooklyn Center, MN 55429-1754

Phone

(763) 561-1224

Fax

(763) 503-9451

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Miniru Omotayo Alawiye

Title

Ceo

Phone

(763) 561-1224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1194951848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BROOKLYN BLVD",
            "address_2": "SUITE 103",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291754",
            "telephone_number": "763-561-1224",
            "fax_number": "763-503-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROOKLYN BLVD",
            "address_2": "SUITE 103",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291754",
            "telephone_number": "763-561-1224",
            "fax_number": "763-503-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODFAITH MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "ALAWIYE",
        "authorized_official_first_name": "MINIRU",
        "authorized_official_middle_name": "OMOTAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-561-1224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Allen Goldman, LICSW
• Kaitlin Golmen
• Alondra Esmeralda Gomez Pliego
• Britanni A Gomez-Saligan
• Good Faith Inc
• Goodness Ans Mercy Health Services, Incorporated
• Goshen Health Services LLC
• Adrianne Jannibah Gould, COMMUNITY HEALTH
• Grace at Home Care LLC
• Graceful Aging Health Care Inc

• Durable Medical Equipment & Medical Supplies in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.