Goodman Services, LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

GOODMAN SERVICES, LLC

Practice address

2132 22ND Ave S
St Petersburg, FL 33712-3117

Phone

(863) 512-6003

Fax

(863) 213-4060

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Leroy Goodman Jr.

Title

General Manager

Phone

(863) 512-6003

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1356836100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338042105",
            "telephone_number": "863-512-6003",
            "fax_number": "863-213-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 22ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337123117",
            "telephone_number": "863-512-6003",
            "fax_number": "863-213-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "863-512-6003",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021228900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simon Domingo Gonzalez, CPT
• Viviana Gonzalez
• Tamsen Anne Gooch, THERAPIST
• Good Psych Today
• Tiffany N Gooding, PT
• Netanya Goodman, PA
• Aaron Goodrum, M.D.
• Heather Melissa Goodson, PA-C
• Goodwill Industries-Suncoast, Inc.
• Karen R Goodwin, PA-C

• Home Modifications Contractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.