Organization Active NPI

Good Works Farm, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Waynesville, OH
National Provider Identifier
1811591373
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GOOD WORKS FARM, INC.
Practice address
1566 Roxanna New Burlington Rd
Waynesville, OH 45068-9644
Phone
(937) 825-7470
NPI assigned
Nov 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Authorized official

Name
Nancy BernotaitisNPI 1063898179
Title
Coo
Phone
(937) 825-7470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1566 Roxanna New Burlington Rd
Waynesville, OH 45068-9644

Mailing address

1566 Roxanna New Burlington Rd
Waynesville, OH 45068-9644
Phone (937) 825-7470

Other identifiers 1

IdentifierTypeStateIssuer
2904867OtherOHOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbernotaitis@goodworksfarm.org Direct

National Provider Directory

National Provider Directory

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": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1811591373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 ROXANNA NEW BURLINGTON RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689644",
            "telephone_number": "937-825-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 ROXANNA NEW BURLINGTON RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689644",
            "telephone_number": "937-825-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD WORKS FARM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "BERNOTAITIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-825-7470"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES",
            "identifier": "2904867",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbernotaitis@goodworksfarm.org",
            "affiliation": "N",
            "endpointDescription": "COO email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1566 Roxanna New Burlington Rd",
            "city": "Waynesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450689644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waynesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.