Goodsteps Behavioral Home LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

GOODSTEPS BEHAVIORAL HOME LLC

Practice address

9144 W Meadowbrook Ave
Phoenix, AZ 85037-2382

Phone

(623) 440-2896

Fax

(623) 440-2896

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

David Kenneth DakaNPI 1386311181

Title

Owner

Phone

(562) 583-6835

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Daka

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
  • NPI 1386311181

  Assisted Living, Behavioral Disturbances

  NPD Authorized official

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1487314787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9144 W MEADOWBROOK AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372382",
            "telephone_number": "623-440-2896",
            "fax_number": "623-440-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9144 W MEADOWBROOK AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372382",
            "telephone_number": "623-440-2896",
            "fax_number": "623-440-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODSTEPS BEHAVIORAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "DAKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-583-6835"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Porter Goodsell, D.O.
• Goodside Health Medical, PLLC
• Laurel Goodson
• Naomi Lynnette Goodson, LMT
• Shawn Goodson
• Goodwill Industries of Central Arizona
• Amanda Goodwin
• Amanda Pemberton Goodwin
• Jessica Goodwin
• John Maurice Goodwin, DDS

• Assisted Living Facility (Behavioral Disturbances) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.