Goodwill Hospice Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOODWILL HOSPICE SERVICES INC

Practice address

22151 Ventura Blvd Ste 204
Woodland Hills, CA 91364-1666

Phone

(818) 468-3928

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Mike Javanmard

Title

Ceo

Phone

(818) 468-3928

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1336764109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22151 VENTURA BLVD STE 204",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641666",
            "telephone_number": "818-468-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 VENTURA BLVD STE 204",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641666",
            "telephone_number": "818-468-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HOSPICE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "JAVANMARD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-468-3928"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Isabel Gonzalez
• Raul Gonzalez
• Wendy Jasmine Gonzalez
• Good Care Home Health LLC
• Chloeonna Justine Goodnow
• Mondona Goodwin, DO
• Adi Goral, M.A.
• Denise Gordillo
• Douglas Mark Gordon, D.C.
• Evan Gordon

• Community Based Hospice Care Agency in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.