Goodwill Industries of Mid Michigan

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL INDUSTRIES OF MID MICHIGAN

Practice address

501 S Averill Ave
Flint, MI 48506-4009

Phone

(810) 762-9960

Fax

(810) 762-9957

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Rene McMann

Title

WFD Director

Phone

(810) 762-9960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1265685663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S AVERILL AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064009",
            "telephone_number": "810-762-9960",
            "fax_number": "810-762-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S AVERILL AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064009",
            "telephone_number": "810-762-9960",
            "fax_number": "810-762-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF MID MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "MCMANN",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "WFD DIRECTOR",
        "authorized_official_telephone_number": "810-762-9960",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Howard Goodenow, PHD
• Chelsea Nicole Goodin
• Sparkle Goodman
• Elizabeth Ellen Goodrich, RN
• Tyler Goodrich
• Goodwill Optical Inc
• Aubren Goodwin
• Hallie Gordley
• Alexandra Nicole Gordon
• Charmael Gordon

• All providers in Flint, MI
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.