Goodwill Healthcare Services Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOODWILL HEALTHCARE SERVICES INC.

Practice address

8380 Miramar Mall Ste 225B
San Diego, CA 92121-2550

Phone

(858) 355-9903

Fax

(858) 355-9904

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Gabriel Belagardi

Title

Ceo

Phone

(714) 335-3557

Specialties & licenses 1

Addresses

Other names 1

• EVEREST HOSPICE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31736

Legal name

GOODWILL HEALTHCARE SERVICES INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 17, 2021

Last certification

Oct 17, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 26, 2020 in CA

Enrollment address

2600 Foothill Blvd
Ste 104
La Crescenta, CA 91214-4578

Listed as

Goodwill Healthcare Services, IncCCN B31736

Certified

Oct 17, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Armen Hovhannisyan, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1740488998
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Huy Thanh Ho, M.D.

  • Specialist
  • San Diego, CA
  • NPI 1750370458

  Hospice

  Care Compare affiliation
• Youngho Paul Kim, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1184069296

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1699383232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 MIRAMAR MALL STE 225B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212550",
            "telephone_number": "858-366-3747",
            "fax_number": "858-355-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 MIRAMAR MALL STE 225B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212550",
            "telephone_number": "858-355-9903",
            "fax_number": "858-355-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "BELAGARDI",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-335-3557"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVEREST HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared James Goodrow, NAVY IDC
• Irene Joy Basa Goodsell, OTR/L
• Jeremy Goodsnyder
• Henry Michael Goodson
• Ruth Barber Goodson, MD
• Goodwill Hospice Care Inc
• Vanessa Goodwill, MD
• Jane D. Goodwin, O.D.
• Kim M Goodwin, M.D.
• Laura Sue Goodwin, RN, PMHNP

• All providers in San Diego, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.