Goodwill Ventures Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GOODWILL VENTURES INC

Practice address

820 Antigua St
Las Vegas, NV 89145-6142

Phone

(702) 358-9917

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Rosvi Albeza

Title

Secretary

Phone

(702) 358-9917

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rainbow Connections Group Care Home Doing business as

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1255899076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 GLENBOROUGH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ANTIGUA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456142",
            "telephone_number": "702-358-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "ALBEZA",
        "authorized_official_first_name": "ROSVI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "702-358-9917"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5432-AGC-8",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Connections Group Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina L Goodson, M.D.
• Maangelica Goodstein, P.T, DPT, PA-C
• Goodwill Health Care LLC
• Goodwill Home Health LLC
• Goodwill Pharmacy Inc.
• Ellen Goodwill
• Alexis Marie Goodwin
• Amy Goodwin, D.M.D.
• Antoinette Goodwin
• Deborah Vittum Goodwin, M.D.

• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.