Active NPI
Goodwill Home Care LLC
Doing business as Goodwill Home Care
- In Home Supportive Care Agency
- Oakland, MD
National Provider Identifier
1710751722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GOODWILL HOME CARE LLC
- Doing business as
- Goodwill Home Care
- Practice address
- 5000 Thayer Ctr Ste C
Oakland, MD 21550-1139 - Phone
- (267) 423-2308
- NPI assigned
- Nov 9, 2023
- Last updated
- Nov 9, 2023
- 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. Syed M Islam
- Title
- Ceo
- Phone
- (267) 423-2308
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Mailing address
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone (267) 423-2308
Other names 1
- Goodwill Home Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- In Home Supportive Care Agency
- Richmond, VA
- NPI 1316738305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699488000000",
"number": "1710751722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 THAYER CTR STE C",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501139",
"telephone_number": "267-423-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 THAYER CTR STE C",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501139",
"telephone_number": "267-423-2308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWILL HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A",
"authorized_official_last_name": "ISLAM",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-423-2308",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodwill Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.