Goodwill Industries of the Coastal Empire, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

GOODWILL INDUSTRIES OF THE COASTAL EMPIRE, INC.

Doing business as

ADVANCE Acquired Brain Injury Rehabilitation Program

Practice address

7220 Sallie Mood Dr
Savannah, GA 31406-3921

Phone

(912) 354-6611

Fax

(912) 354-3787

NPI assigned

Dec 30, 2011

Last updated

Jan 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bardwell B. Way

Title

Vice President, Finance

Phone

(912) 354-6611

Specialties & licenses 1

Addresses

Other names 1

• ADVANCE Acquired Brain Injury Rehabilitation Program Doing business as

Locations

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325462400000",
    "number": "1225308760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15007",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161707",
            "telephone_number": "912-354-6611",
            "fax_number": "912-354-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 SALLIE MOOD DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063921",
            "telephone_number": "912-354-6611",
            "fax_number": "912-354-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF THE COASTAL EMPIRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2012-01-02",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "BARDWELL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "912-354-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCE Acquired Brain Injury Rehabilitation Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Lorene Goodman, RN
• Lloyd Stanley Goodman, MD
• Samantha Goodroe
• Robin Goods
• Ashleigh D Goodsell
• Jacob Edwin Goodwin, PHARMD
• Lauren Googe
• Andrea Margareta Gordon, PT
• Arianna Sachi Gordon, MD
• Darlene Gordon

• Voluntary or Charitable Agency in Savannah, GA
• Providers in Savannah, GA by specialty
• Voluntary or Charitable Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.