Goodwill Industries of Erie, Huron, Ottawa & Sandusky Counties, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL INDUSTRIES OF ERIE, HURON, OTTAWA & SANDUSKY COUNTIES, INC.

Practice address

419 W Market St
Sandusky, OH 44870-2411

Phone

(419) 625-4744

Fax

(419) 625-4692

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Marlis R Rock

Title

Director of Mission Services

Phone

(419) 625-4744

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1366137531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W MARKET ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702411",
            "telephone_number": "419-625-4744",
            "fax_number": "419-625-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W MARKET ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702411",
            "telephone_number": "419-625-4744",
            "fax_number": "419-625-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF ERIE, HURON, OTTAWA & SANDUSKY COUNTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "MARLIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF MISSION SERVICES",
        "authorized_official_telephone_number": "419-625-4744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Godfrey
• Dianna Gonzales, RN
• Roberto Gonzales, NP-C
• Sandra Gonzalez
• Marcia L Goodsite, LPCC
• Satya Srinivas Gorty, M.D.
• Karen Goshe, LISW-S
• Jennifer W Gould, M.D.
• Lynn Grant, COTA/L
• Lyric Grant

• Developmentally Disabled Services Day Training Agency in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.