Good Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOOD HOMECARE LLC

Practice address

1250 Ewing St
Fort Wayne, IN 46802-3369

Phone

(317) 643-1966

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Shmuel Zeitlin

Title

Manager

Phone

(317) 643-1966

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1477391118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 306",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012111",
            "telephone_number": "317-643-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EWING ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023369",
            "telephone_number": "317-643-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "ZEITLIN",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-643-1966"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio R Gonzalez Mansilla, HAD
• Alena Gonzalez, RBT
• Amanda Jo Gonzalez, LCSW
• Joseph Gonzalez, LAT, ATC
• Rhonda Elaine Gonzalez, LPN
• Susan Marie Goode, O.D.
• Joseph E. Gooding, MD
• Evan Goodman
• Tamara Lea Goodman, LMHC
• Brooklyn A Goodrich, RBT

• In Home Supportive Care Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.