Organization Active NPI

Goodluck Homestead Enterprises LP

  • In Home Supportive Care Agency
  • Greenville, TX
National Provider Identifier
1215749544
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOODLUCK HOMESTEAD ENTERPRISES LP
Practice address
5302 Vale St
Greenville, TX 75402-6436
Phone
(903) 951-4125
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Amanda Lee McDonald
Title
Owner
Phone
(903) 951-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5302 Vale St
Greenville, TX 75402-6436

Mailing address

5302 Vale St
Greenville, TX 75402-6436
Phone (903) 951-4125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1215749544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 VALE ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026436",
            "telephone_number": "903-951-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 VALE ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026436",
            "telephone_number": "903-951-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLUCK HOMESTEAD ENTERPRISES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-951-4125"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.