NPIMap

Organization Active NPI

Goodwill Industries of Central Iowa

  • Developmentally Disabled Services Day Training Agency
  • Johnston, IA
National Provider Identifier
1821291311
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GOODWILL INDUSTRIES OF CENTRAL IOWA
Practice address
5355 NW 86TH St
Johnston, IA 50131-2781
Phone
(515) 265-5323
Fax
(515) 265-0645
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Mary Hunter
Title
Ceo
Phone
(515) 265-5323

Specialties & licenses 1

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

Addresses

Primary practice location

5355 NW 86TH St
Johnston, IA 50131-2781

Mailing address

5355 NW 86TH St
Johnston, IA 50131-2781
Phone (515) 265-5323

Other identifiers 1

IdentifierTypeStateIssuer
0740225MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Goodwill Industries of Central Ia4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1821291311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312781",
            "telephone_number": "515-265-5323",
            "fax_number": "515-265-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312781",
            "telephone_number": "515-265-5323",
            "fax_number": "515-265-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF CENTRAL IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-265-5323"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740225",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.