Good Ground Good Life, Inc.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

69007048 Issued in DC

Legal business name

GOOD GROUND GOOD LIFE, INC.

Practice address

232 Madison St. N.W.
Washington, DC 20011

Phone

(202) 276-1725

Fax

(202) 726-1556

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Delyon Arvell Gigger

Title

Executive Director

Phone

(202) 276-1725

Specialties & licenses 1

Addresses

Other names 1

• Good Ground Good Life, Inc. Other name

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1669823456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MADISON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112204",
            "telephone_number": "510-205-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MADISON ST. N.W.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20011",
            "telephone_number": "202-276-1725",
            "fax_number": "202-726-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD GROUND GOOD LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "GIGGER",
        "authorized_official_first_name": "DELYON",
        "authorized_official_middle_name": "ARVELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-276-1725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "DC",
            "license": "69007048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Ground Good Life, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community Health Worker in Washington, DC
• Providers in Washington, DC by specialty
• Community Health Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.