Organization Active NPI

Goodwill Home Health Services, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1457552150
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOODWILL HOME HEALTH SERVICES, INC.
Practice address
644 W Broadway
Suite 100
Glendale, CA 91204-1059
Phone
(818) 500-7433
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Mike Javanmard
Title
Ceo
Phone
(818) 500-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

644 W Broadway
Suite 100
Glendale, CA 91204-1059

Mailing address

22151 Ventura Blvd
Suite 202
Woodland Hills, CA 91364-1666
Phone (818) 500-7433

National Provider Directory

National Provider Directory

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1457552150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22151 VENTURA BLVD",
            "address_2": "SUITE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641666",
            "telephone_number": "818-500-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W BROADWAY",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041059",
            "telephone_number": "818-500-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "JAVANMARD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-500-7433"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.