NPIMap

Organization Active NPI

Good Care Network LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Bullhead City, AZ
National Provider Identifier
1801370952
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GOOD CARE NETWORK LLC
Practice address
2215 Ventura Dr
Bullhead City, AZ 86442-5824
Phone
(928) 219-4195
NPI assigned
Sep 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Dominique Giddings
Title
Administrator
Phone
(313) 434-2723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2215 Ventura Dr
Bullhead City, AZ 86442-5824

Mailing address

2744 Mona Lisa St
Henderson, NV 89044-0319
Phone (313) 434-2723

Other names 1

  • Good Care Network LLC ventura Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Care Network LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1801370952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 MONA LISA ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440319",
            "telephone_number": "313-434-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 VENTURA DR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425824",
            "telephone_number": "928-219-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD CARE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "GIDDINGS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-434-2723"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Care Network LLC ventura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.