Godswill Health Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GODSWILL HEALTH CARE SERVICES, LLC

Practice address

1053 Weeping Oak Dr
Burleson, TX 76028-5065

Phone

(646) 421-0642

Fax

(817) 977-0073

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Evelyn Fotabong

Title

Administrator

Phone

(646) 421-0642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1407464944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 WEEPING OAK DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285065",
            "telephone_number": "646-421-0642",
            "fax_number": "817-977-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 WEEPING OAK DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285065",
            "telephone_number": "646-421-0642",
            "fax_number": "817-977-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODSWILL HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "FOTABONG",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-421-0642"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela S Gjertson, AUD., CCC-A
• Global Sleep Dallas L.P.
• Global Sleep Dallas, L.P.
• Global Therapy Services LLC
• McKenzie Goad, LPC
• Amber Goff, PT, DPT
• Petula Gohdes
• Leonia Stardehlia Golden, LPC
• April Gomez, PT
• Leslie Gomez

• Home Health Agency in Burleson, TX
• Providers in Burleson, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.