Goodwill Invalid Coach Service

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

7528906 Issued in NJ

Legal business name

GOODWILL INVALID COACH SERVICE

Practice address

111 Chestnut St
Suite 605
Cherry Hill, NJ 08002-1841

Phone

(856) 667-3565

Fax

(856) 667-3565

NPI assigned

Apr 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tagwa Elnour

Title

Owner

Phone

(856) 661-3665

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780802298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHESTNUT ST",
            "address_2": "SUITE 605",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021841",
            "telephone_number": "856-667-3565",
            "fax_number": "856-667-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHESTNUT ST",
            "address_2": "SUITE 605",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021841",
            "telephone_number": "856-667-3565",
            "fax_number": "856-667-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INVALID COACH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELNOUR",
        "authorized_official_first_name": "TAGWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-661-3665",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "7528906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7528906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Gonzalez, OTR/L
• Yesenia Gonzalez
• Diane M Goodfellow
• Barbara Goodman, SLP
• Cortney Goodstadt
• Amanda Goodwin, MS RD LDN
• Elizabeth Mary Goodwin, PT, DPT
• Nicole Goodwin
• Priya Gor, MD
• Monika Goralczyk, RD, LDN

• Non-emergency Medical Transport (VAN) in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.