Organization Active NPI

Goodwill Healthcare Staffing LLC

  • Home Health Registered Nurse
  • Beltsville, MD
National Provider Identifier
1255011557
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
GOODWILL HEALTHCARE STAFFING LLC
Practice address
10610 Rhode Island Ave Ste 103
Beltsville, MD 20705-2500
Phone
(301) 708-5995
NPI assigned
Jul 20, 2023
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Folake Akinola
Title
Office Personnel
Phone
(301) 708-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X NU Primary

Addresses

Primary practice location

10610 Rhode Island Ave Ste 103
Beltsville, MD 20705-2500

Mailing address

10610 Rhode Island Ave Ste 103
Beltsville, MD 20705-2500
Phone (301) 708-5995

National Provider Directory

National Provider Directory

Locations

10610 Rhode Island Ave
Ste 103
Beltsville, MD 20705
Phone (301) 708-5995

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1255011557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 RHODE ISLAND AVE STE 103",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052500",
            "telephone_number": "301-708-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 RHODE ISLAND AVE STE 103",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052500",
            "telephone_number": "301-708-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "AKINOLA",
        "authorized_official_first_name": "FOLAKE",
        "authorized_official_title_or_position": "OFFICE PERSONNEL",
        "authorized_official_telephone_number": "301-708-5995"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.