Goodwill of Colorado

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOODWILL OF COLORADO

Doing business as

Your Life Your Way

Practice address

1460 Garden of the Gods Rd
Colorado Springs, CO 80907

Phone

(719) 635-4483

Fax

(719) 635-5713

NPI assigned

Apr 20, 2007

Last updated

Jul 31, 2023By 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

Ms. Karla A Grazier

Title

Ceo

Phone

(719) 635-4483

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• Your Life Your Way Doing business as

Tax ID family

Goodwill of Colorado3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Goodwill of Colorado

  dba Journeys

  • Adult Day Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1598981730
  NPD tax ID
• Goodwill of Colorado

  dba Goodwill Industries of Denver

  • Day Training/Habilitation Specialist
  • Denver, CO
  • NPI 1720649122
  NPD tax ID

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1245457035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 GARDEN OF THE GODS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073414",
            "telephone_number": "719-635-4483",
            "fax_number": "719-635-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 GARDEN OF THE GODS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-635-4483",
            "fax_number": "719-635-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "GRAZIER",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-635-4483",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "1005UO",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS B LICENSE",
            "identifier": "1005UO",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90129377",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Life Your Way",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Life Your Way",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maritta Vera Goodman, MA, LMFT
• Mark Goodman
• Tiffany Ruth Goodman, LCSW
• Tara Goodrich
• Goodwill of Colorado
• Goodwill of Colorado (Journeys)
• Cara Goodwin
• Devra Dawn Goodwin, LCSW
• Joyce Goodwin
• Mlisa Shianne Goodwin

• Home Health Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.