Organization Active NPI

Goodwill Industries of South Florida, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Miami, FL
National Provider Identifier
1841009545
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GOODWILL INDUSTRIES OF SOUTH FLORIDA, INC.
Practice address
2121 NW 21St St
Miami, FL 33142-7382
Phone
(305) 325-9114
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Mr. Darrell Cunningham
Title
Vice President of Mission Services
Phone
(786) 795-1141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2121 NW 21St St
Miami, FL 33142-7382

Mailing address

2121 NW 21St St
Miami, FL 33142-7382
Phone (305) 325-9114

Other practice location 1

2104 W Commercial Blvd
Fort Lauderdale, FL 33309-3034
Phone (305) 325-9114

National Provider Directory

National Provider Directory

Locations

2104 W Commercial Blvd
Fort Lauderdale, FL 33309
Phone (305) 325-9114

2121 NW 21st St
Miami, FL 33142
Phone (305) 325-9114

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1841009545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427382",
            "telephone_number": "305-325-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427382",
            "telephone_number": "305-325-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2104 W Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333093034",
            "country_code": "US",
            "telephone_number": "305-325-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF SOUTH FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "VICE PRESIDENT OF MISSION SERVICES",
        "authorized_official_telephone_number": "786-795-1141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.