Goodwill Industries of South Central Ohio

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL INDUSTRIES OF SOUTH CENTRAL OHIO

Practice address

2541 Western Avenue
Chillicothe, OH 45601

Phone

(740) 702-4000

Fax

(740) 702-4001

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Marvin E Jones

Title

Ceo

Phone

(740) 702-4000

Specialties & licenses 7

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1487999538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010093",
            "telephone_number": "740-702-4000",
            "fax_number": "614-517-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 WESTERN AVENUE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-702-4000",
            "fax_number": "740-702-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431601653",
            "country_code": "US",
            "telephone_number": "740-702-4000 x173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "456909701",
            "country_code": "US",
            "telephone_number": "740-702-4000 x171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 Hocking Mall",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431381000",
            "country_code": "US",
            "telephone_number": "740-702-4000 x168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Columbus Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011378",
            "country_code": "US",
            "telephone_number": "740-702-4000 x163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "574 N Market St.",
            "address_purpose": "LOCATION",
            "city": "McArthur",
            "state": "OH",
            "postal_code": "45651",
            "country_code": "US",
            "telephone_number": "740-702-4000 x169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF SOUTH CENTRAL OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-702-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "715055",
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "OH",
            "license": "715055",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100603",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL TRANSPORTATION BOARD",
            "identifier": "715055",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Good, D.C.
• Megan Good, MSN, RN
• Rachelle Good, CDCA
• Tacy Good
• Kristen Renee Goode, CDCA, PRELIMINARY
• Amy Elizabeth Gordon, RPH
• Constance Lee Gordon, LISW-SUPV
• Haven Ann Gordon
• Stephanie Gordon, M.D.
• Laurence Robert Gore, PH.D.

• Developmentally Disabled Services Day Training Agency in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.