Goodwill Industries of Northern Michigan

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GOODWILL INDUSTRIES OF NORTHERN MICHIGAN

Practice address

2943 Keystone Rd N
Traverse City, MI 49686-8814

Phone

(231) 922-4890

NPI assigned

Dec 3, 2015

Organization subpart

No

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

Authorized official

Name

Sakura Raftery

Title

Housing Director

Phone

(231) 995-7711

Specialties & licenses 1

Addresses

Other names 1

• Goodwill Inn Former legal business name

Locations

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1346615218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 KEYSTONE RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868814",
            "telephone_number": "231-922-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 KEYSTONE RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868814",
            "telephone_number": "231-922-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF NORTHERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "RAFTERY",
        "authorized_official_first_name": "SAKURA",
        "authorized_official_title_or_position": "HOUSING DIRECTOR",
        "authorized_official_telephone_number": "231-995-7711"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Inn",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gail Goldsmith, LBSW
• Tana Rae Golembiewski, RDH
• Good Harbor Therapy, LLC
• Don A Good, MD
• Melissa Ann Goodchild, RD
• Goodwill Optical Inc (Goodwill Optical)
• Bradley P Goodwin, M.D.
• Jeffrey D Goodwin, M.DIV, M.A., LLPC
• Zachary Peter Goral, D.O.
• David S Gordon, MD

• Case Management Agency in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.