Active NPI
Good Will Plus Incorporated
- Home Health Agency
- Monterey Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000299
- Legal business name
- GOOD WILL PLUS INCORPORATED
- Practice address
- 233 E Pomona Blvd
Suite B
Monterey Park, CA 91755-7226 - Phone
- (323) 725-7620
- Fax
- (323) 725-7864
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ma Alma Velasco Caluag, LVN
- Title
- Ceo/President
- Phone
- (323) 725-7620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000299 | CA | Primary |
Addresses
Primary practice location
233 E Pomona Blvd
Suite B
Monterey Park, CA 91755-7226
Mailing address
233 E Pomona Blvd
Suite B
Monterey Park, CA 91755-7226
Phone (323) 725-7620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396809232 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041019000587 | CA | Part A Provider - Home Health Agency | 5294796785 | Practice locations: Monterey Park, CA |
Home health agency certification: CCN 058428
- Legal name
- GOOD WILL PLUS, INCORPORATED
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 17, 2007
- Last certification
- Apr 7, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 23, 2004 in CA
- Enrollment address
- 233 E Pomona Blvd
Ste B
Monterey Park, CA 91755-7200
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Goodwill Plus, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 17, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1965 Potrero Grande Dr
Ste G
Monterey Park, CA 91755
Phone (626) 307-0044
233 E Pomona Blvd
Ste B
Monterey Park, CA 91755
Phone (323) 725-7620
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Oscar L Chien | Contracted Managing Employee | Jul 15, 2015 | |
| Corporate Director | Jul 15, 2015 | ||
| Genesis a Viejo | 5% Or Greater Direct Ownership Interest | Oct 25, 2010 | 20% |
| Corporate Officer | Oct 25, 2010 | 20% | |
| Corporate Director | Oct 25, 2010 | 20% | |
| W-2 Managing Employee | Oct 25, 2010 | 20% | |
| Operational/Managerial Control | Oct 25, 2010 | 20% | |
| Ma Alma V Caluag | 5% Or Greater Direct Ownership Interest | Oct 25, 2010 | 80% |
| Corporate Officer | Oct 25, 2010 | 80% | |
| Corporate Director | Oct 25, 2010 | 80% | |
| W-2 Managing Employee | Oct 25, 2010 | 80% | |
| Operational/Managerial Control | Oct 25, 2010 | 80% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- San Gabriel, CA
- NPI 1679675904
Contracted Managing Employee, Corporate Director
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- San Gabriel, CA
- NPI 1679675904
Home health agency
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1154320836
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590451200000",
"number": "1396809232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E POMONA BLVD",
"address_2": "SUITE B",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917557226",
"telephone_number": "323-725-7620",
"fax_number": "323-725-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E POMONA BLVD",
"address_2": "SUITE B",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917557226",
"telephone_number": "323-725-7620",
"fax_number": "323-725-7864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD WILL PLUS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A",
"authorized_official_last_name": "CALUAG",
"authorized_official_first_name": "MA ALMA",
"authorized_official_middle_name": "VELASCO",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "323-725-7620",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396809232",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.