Organization Active NPI

Goodman Care Inc.

Doing business as Home Instead Senior Care

  • Home Health Agency
  • North Wilkesboro, NC
National Provider Identifier
1548456932
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3529 Issued in NC
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3418418MedicaidNC

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goodman Care Inc2 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.

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.

Verify at the official NPI Registry.