Goodwill Industries of Greater Detroit

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

GOODWILL INDUSTRIES OF GREATER DETROIT

Practice address

3111 Grand River Ave
Detroit, MI 48208-2962

Phone

(313) 964-3900

Fax

(313) 964-3909

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lorna G Utley

Title

President and Ceo

Phone

(313) 557-8787

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Goodwill Industries of Greater Detroit3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Goodwill Industries of Greater Detroit

  • Community/Behavioral Health Agency
  • Westland, MI
  • NPI 1063711877
  NPD tax ID
• Goodwill Industries of Greater Detroit

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1841599669
  NPD tax ID

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1548358245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082962",
            "telephone_number": "313-964-3900",
            "fax_number": "313-964-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082962",
            "telephone_number": "313-964-3900",
            "fax_number": "313-964-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF GREATER DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "313-557-8787",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2783305",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antionette Goodman, RN
• Emily D Goodman, LLPC
• Ezra Rae Goodrich, MD
• Rachel Goodrum
• Aldeana Goodspeed, CADC-M, CPS-M, CPRC
• Goodwill Industries of Greater Detroit
• Jill Patrice Goodwin-Smith, RN
• Geogette J Goodwin, RN
• Gerald Goodwin
• Meisha Renee Goodwin

• Case Manager/Care Coordinator in Detroit, MI
• Providers in Detroit, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.