Goodness Ans Mercy Health Services, Incorporated

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1072626 Issued in MN

Legal business name

GOODNESS ANS MERCY HEALTH SERVICES, INCORPORATED

Practice address

3808 61St Ave N
Brooklyn Center, MN 55429-2402

Phone

(651) 631-2535

Fax

(651) 631-2538

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Adesola Olayinka Ogundipe

Title

Administrator

Phone

(612) 272-0414

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Goodness and Mercy Health Services 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.

• Goodness and Mercy Health Services Inc.

  • Assisted Living Facility
  • New Brighton, MN
  • NPI 1366502882
  NPD tax ID

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1588031496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 61ST AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292402",
            "telephone_number": "651-631-2535",
            "fax_number": "651-631-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 61ST AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292402",
            "telephone_number": "651-631-2535",
            "fax_number": "651-631-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODNESS ANS MERCY HEALTH SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "OGUNDIPE",
        "authorized_official_first_name": "ADESOLA",
        "authorized_official_middle_name": "OLAYINKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-272-0414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1072626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A067623000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Golmen
• Alondra Esmeralda Gomez Pliego
• Britanni A Gomez-Saligan
• Good Faith Inc
• Goodfaith Medical Supply Inc
• Goshen Health Services LLC
• Adrianne Jannibah Gould, COMMUNITY HEALTH
• Grace at Home Care LLC
• Graceful Aging Health Care Inc
• Graceful Lodge, LLC

• Adult Care Home Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.