NPIMap

Organization Active NPI

Linda Goode

  • Adult Care Home Facility
  • Rusk, TX
National Provider Identifier
1649672007
Registry record updated Sep 17, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
137067 Issued in TX
Legal business name
LINDA GOODE
Practice address
111 Plum St
Rusk, TX 75785-2327
Phone
(936) 414-6918
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Mrs. Linda Goode
Title
Owner/Afc Provider
Phone
(936) 414-6918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 137067 TX Primary

Addresses

Primary practice location

111 Plum St
Rusk, TX 75785-2327

Mailing address

111 Plum St
Rusk, TX 75785-2327
Phone (936) 414-6918

Other identifiers 1

IdentifierTypeStateIssuer
000950100MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1649672007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PLUM ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757852327",
            "telephone_number": "936-414-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PLUM ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757852327",
            "telephone_number": "936-414-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA GOODE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER/AFC PROVIDER",
        "authorized_official_telephone_number": "936-414-6918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "137067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000950100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.