Goodwill Homes LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GOODWILL HOMES LLC

Practice address

13126 Mercury LN
Fairfax, VA 22033-3711

Phone

(202) 258-3344

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Roger Leyou

Title

Ceo

Phone

(202) 258-3344

Specialties & licenses 1

Addresses

Tax ID family

Goodwill Homes LLC2 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 Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fairfax, VA
  • NPI 1154001139
  NPD tax ID

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508544941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13126 MERCURY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333711",
            "telephone_number": "202-258-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13126 MERCURY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333711",
            "telephone_number": "202-258-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-09-11",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "LEYOU",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-258-3344"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Nicole Goodman
• Kristin Bentivogli Goodman, DPT
• Sarah Nicole Goodman, NONE
• Stephen J Goodman, MD
• Goodwill Homes LLC
• Brian Goodwin, PT, DPT
• Lyndon K Goodwin, MD
• Keerti Goorah, DPT
• Sarita Gopal, M.D.
• Sushmita Bharat Gordhandas, M.D.

• Adult Care Home Facility in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Adult Care Home Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.