Organization Active NPI

Goodland TLC Home Health Agency

  • Vascular Sonography Radiologic Technologist
  • Hazlet, NJ
National Provider Identifier
1376417659
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
Legal business name
GOODLAND TLC HOME HEALTH AGENCY
Practice address
4 Skyline Dr
Hazlet, NJ 07730-1679
Phone
(732) 910-2894
NPI assigned
Oct 1, 2025
Organization subpart
Yes
Parent organization
GOODLAND TLC HOME HEALTH AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Mrs. Omobukola Itua, RVTNPI 1003780388
Title
Manager
Phone
(732) 910-2894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471V0105X Primary

Addresses

Primary practice location

4 Skyline Dr
Hazlet, NJ 07730-1679

Mailing address

4 Skyline Dr
Hazlet, NJ 07730-1679
Phone (732) 910-2894

Other names 1

  • Goodland Medical Diagnostic Services Doing business as

National Provider Directory

National Provider Directory
Part of
Goodland TLC Home Health Agency

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1376417659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SKYLINE DR",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301679",
            "telephone_number": "732-910-2894",
            "fax_number": "855-724-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SKYLINE DR",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301679",
            "telephone_number": "732-910-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLAND TLC HOME HEALTH AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODLAND TLC HOME HEALTH AGENCY",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "ITUA",
        "authorized_official_first_name": "OMOBUKOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-910-2894",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodland Medical Diagnostic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.