Goodwill Healthcare Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOODWILL HEALTHCARE INC

Practice address

2222 Route 115
Brodheadsville, PA 18322-7102

Phone

(570) 664-2211

Fax

(570) 872-9488

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Peter C Onuoha

Title

Administrator

Phone

(570) 664-2211

Specialties & licenses 1

Addresses

Tax ID family

Goodwill Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodwill Healthcare Inc

  • In Home Supportive Care Agency
  • Stroudsburg, PA
  • NPI 1043755093
  NPD tax ID

Locations

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1487251310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 ROUTE 115",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227102",
            "telephone_number": "570-664-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 ROUTE 115",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227102",
            "telephone_number": "570-664-2211",
            "fax_number": "570-872-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "ONUOHA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-664-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G & a Enterprises PC
• Caitlin Gaffney, CRNP
• Samantha Gambler, PA-C
• Bryn Alexa Gillow, D.C.
• Dena Glazer, LMSW
• Maureen Gower
• Dana Marie Griesback, M.S., CCC-SLP
• Sheali Hannigan
• Dennis G Harleman, DMD
• Thomas Earl Harleman, D.M.D

• In Home Supportive Care Agency in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.