Active NPI
Goodwill Industries NWNC
- Developmentally Disabled Services Day Training Agency
- Conover, NC
National Provider Identifier
1679698195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- MHL-018-075
- Legal business name
- GOODWILL INDUSTRIES NWNC
- Practice address
- 413 Thornburg Dr SE
Conover, NC 28613-8845 - Phone
- (828) 465-0371
- NPI assigned
- Mar 21, 2007
- Last updated
- Oct 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Malla Tongchy Vue
- Title
- Hickory District Director
- Phone
- (828) 465-0371
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL-018-075 | NC | Primary |
| Community/Behavioral Health Agency | 251S00000X | MHL-018-075 | NC |
Addresses
Primary practice location
413 Thornburg Dr SE
Conover, NC 28613-8845
Mailing address
413 Thornburg Dr SE
Conover, NC 28613-8845
Phone (828) 465-0371
National Provider Directory
National Provider Directory- Tax ID family
- Goodwill Industries NWNC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Statesville, NC
- NPI 1356467385
-
- Developmentally Disabled Services Day Training Agency
- Asheville, NC
- NPI 1770609323
Locations
413 Thornburg Dr SE
Conover, NC 28613
Phone (828) 465-0371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507075200000",
"number": "1679698195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 THORNBURG DR SE",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138845",
"telephone_number": "828-465-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 THORNBURG DR SE",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138845",
"telephone_number": "828-465-0371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWILL INDUSTRIES NWNC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2017-10-04",
"status": "A",
"authorized_official_last_name": "VUE",
"authorized_official_first_name": "MALLA",
"authorized_official_middle_name": "TONGCHY",
"authorized_official_title_or_position": "HICKORY DISTRICT DIRECTOR",
"authorized_official_telephone_number": "828-465-0371",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": "MHL-018-075",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL-018-075",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conover, NC
- Camille Rice Glidden, CPNP
- Eric Nathan Goans, D.C.
- Brandon Heath Goble, ATC
- Annia Gonzalez Perez
- Thomas Elliott Goodin III, MD
- Glenda Robinette Grant, RN
- Graystone Family Healthcare PA
- Graystone Family Healthcare-Tenet North Carolina LLC
- Great Hope Missionary Baptist Church (Great Hope Services)
- Richard Madison Griffin, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.