Organization Active NPI

Good Neighbor Assisted Living Services Inc

  • Home Health Agency
  • Goodyear, AZ
National Provider Identifier
1609947845
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD NEIGHBOR ASSISTED LIVING SERVICES INC
Practice address
15655 W Roosevelt Pkwy
Suite 213
Goodyear, AZ 85338-9282
Phone
(623) 932-4878
Fax
(623) 850-9985
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Mr. Arthur P. De Marah, CPA
Title
Cfo
Phone
(623) 932-4878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AZ Primary

Addresses

Primary practice location

15655 W Roosevelt Pkwy
Suite 213
Goodyear, AZ 85338-9282

Mailing address

15655 W Roosevelt Pkwy
Suite 213
Goodyear, AZ 85338-9282
Phone (623) 932-4878

Other names 1

  • GOOD NEIGHBOR SUPPORT SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Neighbor Assisted Living2 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

15655 W Roosevelt St
Goodyear, AZ 85338
Phone (623) 451-5917

15655 W Roosevelt St
Ste 213
Goodyear, AZ 85338
Phone (623) 932-4878

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1609947845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 W ROOSEVELT PKWY",
            "address_2": "SUITE 213",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389282",
            "telephone_number": "623-932-4878",
            "fax_number": "623-850-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 W ROOSEVELT PKWY",
            "address_2": "SUITE 213",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389282",
            "telephone_number": "623-932-4878",
            "fax_number": "623-850-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR ASSISTED LIVING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "DE MARAH",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "623-932-4878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD NEIGHBOR SUPPORT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.