NPIMap

Organization Active NPI

Easter Seals Goodwill ND, Inc.

  • In Home Supportive Care Agency
  • Mandan, ND
National Provider Identifier
1326646704
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EASTER SEALS GOODWILL ND, INC.
Practice address
211 Collins Ave
Mandan, ND 58554-3106
Phone
(701) 663-6828
Fax
(701) 663-6859
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Catherine Metz
Title
Coo/Cfo
Phone
(701) 663-6828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

211 Collins Ave
Mandan, ND 58554-3106

Mailing address

211 Collins Ave
Mandan, ND 58554-3106
Phone (701) 663-6828

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Goodwill ND Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1326646704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COLLINS AVE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543106",
            "telephone_number": "701-663-6828",
            "fax_number": "701-663-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COLLINS AVE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543106",
            "telephone_number": "701-663-6828",
            "fax_number": "701-663-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS GOODWILL ND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "701-663-6828"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.