Organization Active NPI

Goodwill Home Care Services, LLC

  • Home Health Agency
  • Madison Heights, MI
National Provider Identifier
1770626046
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
237522 Issued in MI
Legal business name
GOODWILL HOME CARE SERVICES, LLC
Practice address
31115 Dequindre Rd
Madison Heights, MI 48071-1566
Phone
(248) 307-1772
Fax
(248) 307-1609
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Mrs. Luzvimin L Cunanan, RN
Title
Administrator
Phone
(248) 307-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 237522 MI Primary

Addresses

Primary practice location

31115 Dequindre Rd
Madison Heights, MI 48071-1566

Mailing address

31115 Dequindre Rd
Madison Heights, MI 48071-1805
Phone (248) 307-1772

Other identifiers 1

IdentifierTypeStateIssuer
OE834OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

30565 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 307-1772

31115 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 307-1772

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1770626046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31115 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711805",
            "telephone_number": "248-307-1772",
            "fax_number": "248-307-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31115 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711566",
            "telephone_number": "248-307-1772",
            "fax_number": "248-307-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "CUNANAN",
        "authorized_official_first_name": "LUZVIMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-307-1772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OE834",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.