Active NPI
Goodman Care Inc.
Doing business as Home Instead Senior Care
- Home Health Agency
- North Wilkesboro, NC
National Provider Identifier
1548456932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3529
- Legal business name
- GOODMAN CARE INC.
- Doing business as
- Home Instead Senior Care
- Practice address
- 1320 W D St
Suite 1-a
North Wilkesboro, NC 28659-3506 - Phone
- (336) 838-4040
- Fax
- (336) 838-2060
- NPI assigned
- Sep 19, 2007
- Last updated
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Lynn Goodman, M.A.
- Title
- Administrator
- Phone
- (336) 838-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3529 | NC | Primary |
Addresses
Primary practice location
1320 W D St
Suite 1-a
North Wilkesboro, NC 28659-3506
Mailing address
1320 W D St
Suite 1-a
North Wilkesboro, NC 28659-3506
Phone (336) 838-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418418 | Medicaid | NC |
Other names 1
- Home Instead Senior Care
National Provider Directory
National Provider Directory- Tax ID family
- Goodman Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Home Instead Senior Care
- Home Health Agency
- North Wilkesboro, NC
- NPI 1295887495
Locations
1320 W D St
Ste 1A
North Wilkesboro, NC 28659
Phone (336) 838-4040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1548456932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 W D ST",
"address_2": "SUITE 1-A",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593506",
"telephone_number": "336-838-4040",
"fax_number": "336-838-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 W D ST",
"address_2": "SUITE 1-A",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593506",
"telephone_number": "336-838-4040",
"fax_number": "336-838-2060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODMAN CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "336-838-4040",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418418",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.