NPIMap

Organization Active NPI

Goodwill Industries of the Chesapeake, Inc

  • Local Education Agency (LEA)
  • Bel Air, MD
National Provider Identifier
1780912394
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GOODWILL INDUSTRIES OF THE CHESAPEAKE, INC
Practice address
711 Bel Air Rd
Bel Air, MD 21014-4209
Phone
(410) 879-4010
Fax
(410) 879-4029
NPI assigned
Nov 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Mr. Hassan James, CPRP
Title
Director
Phone
(410) 625-1877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

711 Bel Air Rd
Bel Air, MD 21014-4209

Mailing address

711 Bel Air Rd
Bel Air, MD 21014-4209
Phone (410) 879-4010

Other identifiers 1

IdentifierTypeStateIssuer
408858103MedicaidMD

Other names 1

  • STEP Division Other name

National Provider Directory

National Provider Directory
Tax ID family
Goodwill Industries of the Chesapeake Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

711 Bel Air Rd
Bel Air, MD 21014
Phone (410) 879-4010

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1780912394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BEL AIR RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144209",
            "telephone_number": "410-879-4010",
            "fax_number": "410-879-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BEL AIR RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144209",
            "telephone_number": "410-879-4010",
            "fax_number": "410-879-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF THE CHESAPEAKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-625-1877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPRP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408858103",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEP Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.