Goodwill Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOODWILL HOSPICE CARE INC

Practice address

11230 Sorrento Valley Rd
#120
San Diego, CA 92121-1332

Phone

(858) 658-9000

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Roger Bruhn

Title

Ceo

Phone

(918) 894-3487

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1760743231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052018",
            "telephone_number": "918-894-3487",
            "fax_number": "918-712-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 SORRENTO VALLEY RD",
            "address_2": "#120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211332",
            "telephone_number": "858-658-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "BRUHN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-894-3487",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Joy Basa Goodsell, OTR/L
• Jeremy Goodsnyder
• Henry Michael Goodson
• Ruth Barber Goodson, MD
• Goodwill Healthcare Services Inc. (Everest Hospice)
• Vanessa Goodwill, MD
• Jane D. Goodwin, O.D.
• Kim M Goodwin, M.D.
• Laura Sue Goodwin, RN, PMHNP
• Lorraine Goodwin, FNP

• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.