Organization Active NPI

Goodwill Education Initiatives Incorporated

  • Local Education Agency (LEA)
  • Indianapolis, IN
National Provider Identifier
1205046869
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GOODWILL EDUCATION INITIATIVES INCORPORATED
Practice address
1635 West Michigan Street
Indianapolis, IN 46222-4388
Phone
(317) 524-4638
Fax
(317) 524-4002
NPI assigned
May 23, 2007
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mr. Gregory D McClure, DIRECTOR
Title
Special Education Director
Phone
(317) 524-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

1635 West Michigan Street
Indianapolis, IN 46222-4388

Mailing address

1635 West Michigan Street
Indianapolis, IN 46222-4388
Phone (317) 524-4638

Other identifiers 1

IdentifierTypeStateIssuer
01177037020002OtherININDIANA TAXPAYER ID

Other names 1

  • Indianapolis Metropolitan High School Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1205046869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 WEST MICHIGAN STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462224388",
            "telephone_number": "317-524-4638",
            "fax_number": "317-524-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 WEST MICHIGAN STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462224388",
            "telephone_number": "317-524-4638",
            "fax_number": "317-524-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL EDUCATION INITIATIVES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "317-524-4043",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA TAXPAYER ID",
            "identifier": "01177037020002",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indianapolis Metropolitan High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.