Organization Active NPI

Good Will Plus Incorporated

  • Home Health Agency
  • Monterey Park, CA
National Provider Identifier
1396809232
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000299 Issued in CA
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

Updated by the provider on May 26, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1396809232MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 058428
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 17, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Oscar L Chien Individual Contracted Managing EmployeeMD; Jul 15, 2015
Corporate DirectorMedical Director Jul 15, 2015
Genesis a Viejo Individual 5% Or Greater Direct Ownership InterestCfo, Assistant Administrator Oct 25, 2010 20%
Corporate OfficerCfo, Assistant Administrator Oct 25, 2010 20%
Corporate DirectorCfo, Assistant Administrator Oct 25, 2010 20%
W-2 Managing EmployeeCfo, Assistant Administrator Oct 25, 2010 20%
Operational/Managerial ControlCfo, Assistant Administrator Oct 25, 2010 20%
Ma Alma V Caluag Individual 5% Or Greater Direct Ownership Interest Oct 25, 2010 80%
Corporate OfficerCeo, President , Board Chairman, Oct 25, 2010 80%
Corporate DirectorCeo,President,Board Chairman Oct 25, 2010 80%
W-2 Managing EmployeeCeo,President,Board Chairman Oct 25, 2010 80%
Operational/Managerial ControlCeo, President, Board Chairman, 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.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.