Organization Active NPI

Goodwill Industries of Central Michigan'S Heartland

  • Case Management Agency
  • Battle Creek, MI
National Provider Identifier
1639407976
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GOODWILL INDUSTRIES OF CENTRAL MICHIGAN'S HEARTLAND
Practice address
4820 Wayne Rd
Battle Creek, MI 49037
Phone
(269) 964-9455
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Mrs. Carol J Bush
Title
Vice President
Phone
(517) 787-0570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4820 Wayne Rd
Battle Creek, MI 49037

Mailing address

617 N. Mechanic St.
Jackson, MI 49202
Phone (517) 787-0570

National Provider Directory

National Provider Directory

Locations

4820 Wayne Rd
Battle Creek, MI 49037
Phone (269) 964-9455

617 N Mechanic St
Jackson, MI 49202

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1639407976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N. MECHANIC ST.",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49202",
            "telephone_number": "517-787-0570",
            "fax_number": "517-787-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 WAYNE RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49037",
            "telephone_number": "269-964-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF CENTRAL MICHIGAN'S HEARTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "517-787-0570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.