Good Health Residential Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD HEALTH RESIDENTIAL SERVICES INC.

Practice address

8806 Golden Tree LN
Essex, MD 21221-3221

Phone

(202) 805-2797

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Adedayo Faponle, RN, BSN, MSNNPI 1528694320

Title

Ceo

Phone

(202) 805-2797

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Adedayo Augustine Faponle

  • Home Health Agency
  • Essex, MD
  • NPI 1528694320
  NPD Authorized official

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1740806611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 GOLDEN TREE LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213221",
            "telephone_number": "202-805-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 GOLDEN TREE LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213221",
            "telephone_number": "202-805-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH RESIDENTIAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "FAPONLE",
        "authorized_official_first_name": "ADEDAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-805-2797",
        "authorized_official_credential": "RN, BSN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150232800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deirdre Gardner
• Nakia Nicole Garris
• Gateway Treatment Services LLC
• Glass Health Programs, Inc. (MedMark Treatment Centers - Essex)
• Glass Health Programs, Inc. (Medmark Treatment Centers Essex Intensive Outpatient Program)
• Graceful Phoenix Recovery Housing LLC
• Yanai Daxia Green, DC, MS
• Guiding Light Family/Youth Services (Small Wonders Fun & Learning LLC.)
• Roxann L Gunther
• Eyerusalem Hagos

• Home Health Agency in Essex, MD
• Providers in Essex, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.