Good Old Home Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD OLD HOME CARE SERVICES

Practice address

924 N Johnston Ave
Rockford, IL 61101-5246

Phone

(815) 262-6780

Fax

(815) 708-6163

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi Dandridge

Title

Owner/Ceo

Phone

(815) 262-6780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1609141498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6286",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611251286",
            "telephone_number": "815-262-6780",
            "fax_number": "815-708-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N JOHNSTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611015246",
            "telephone_number": "815-262-6780",
            "fax_number": "815-708-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD OLD HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "DANDRIDGE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "815-262-6780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrico Gonong, MD
• Edwin Gonzalez Montoya, OMFS
• Alejandro Gonzalez, MS
• Jacqueline Gonzalez
• Nicole Gonzalez
• Kelly Marie Goodwin
• Grace Gordon, PA-C
• Linda Louise Gossett, RN, BSN
• Kavitha Gowda, D.D.S.
• Ruby Lanelle Gowdy

• Home Health Agency in Rockford, IL
• Providers in Rockford, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.