Organization Active NPI

Gulfstream Goodwill Industries, Inc.

  • Case Management Agency
  • West Palm Beach, FL
National Provider Identifier
1275775694
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GULFSTREAM GOODWILL INDUSTRIES, INC.
Practice address
1715 Tiffany Dr E
West Palm Beach, FL 33407-3224
Phone
(561) 848-7200
Fax
(561) 848-0346
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Mrs. Kathryn Spencer
Title
VP, Human Services
Phone
(561) 848-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1715 Tiffany Dr E
West Palm Beach, FL 33407-3224

Mailing address

1715 Tiffany Dr E
West Palm Beach, FL 33407-3224
Phone (561) 848-7200

National Provider Directory

National Provider Directory

Locations

1715 E Tiffany Dr
Mangonia Park, FL 33407
Phone (561) 537-6250

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1275775694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 TIFFANY DR E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073224",
            "telephone_number": "561-848-7200",
            "fax_number": "561-848-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 TIFFANY DR E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073224",
            "telephone_number": "561-848-7200",
            "fax_number": "561-848-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSTREAM GOODWILL INDUSTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "VP, HUMAN SERVICES",
        "authorized_official_telephone_number": "561-848-7200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.