Good Custodian Services, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GOOD CUSTODIAN SERVICES, LLC

Practice address

15426 Bevanwood Dr
Woodbridge, VA 22193-5716

Phone

(571) 589-7866

Fax

(703) 373-2813

NPI assigned

May 31, 2022

Organization subpart

Yes

Parent organization

GOOD CUSTODIAN SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Philomena Desmond-Ogugua

Title

Manager

Phone

(571) 589-7866

Specialties & licenses 3

Addresses

Other names 3

• Good Custodian Services, LLC Doing business as
• Good Custodian Home Health Care Agency Other name
• Good Custodian Non-Emergency Medical Transportation Other name

Electronic endpoints 3

Tax ID family

Good Custodian Services LLC2 organizations share this tax ID, including this one

Part of

Good Custodian Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Good Custodian Services, LLC

  • Non-emergency Medical Transport (VAN)
  • Woodbridge, VA
  • NPI 1215428859
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Good Custodian Services, LLC

  • Non-emergency Medical Transport (VAN)
  • Woodbridge, VA
  • NPI 1215428859
  NPPES parent name

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1336888239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15426 BEVANWOOD DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935716",
            "telephone_number": "571-589-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15426 BEVANWOOD DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935716",
            "telephone_number": "571-589-7866",
            "fax_number": "703-373-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD CUSTODIAN SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD CUSTODIAN SERVICES, LLC",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "DESMOND-OGUGUA",
        "authorized_official_first_name": "PHILOMENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-589-7866"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Woodbridge",
            "affiliation": "N",
            "endpointDescription": "E-Mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Woodbridge",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Woodbridge",
            "address_1": "15426 Bevanwood Dr",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221935716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "goodcustodianservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company private email address",
            "address_1": "15426 Bevanwood Dr",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221935716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "goodcustodianservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company private E-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15426 Bevanwood Dr",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221935716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Good Custodian Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Custodian Home Health Care Agency",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Good Custodian Non-Emergency Medical Transportation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabriella A Gomez, WHNP
• Tony Melville Gonsalves, D.O.
• Emily Gonzalez, MS, CCC-SLP
• Tammy Gonzalez
• Good Custodian Services, LLC
• Good Grounds Health Co
• Good Shepherd Transportation LLC
• Donna Marie Goodin, CFNP
• Alyssa Goodwin
• George Raymond Goodwin Jr., M.D.

• Non-emergency Medical Transport (VAN) in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.