Organization Active NPI

Godwin Incorporative Services

Doing business as Godwin Incorporative Supported Living Services

  • In Home Supportive Care Agency
  • Sacramento, CA
National Provider Identifier
1851129829
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GODWIN INCORPORATIVE SERVICES
Doing business as
Godwin Incorporative Supported Living Services
Practice address
5865 61St St
Sacramento, CA 95824-3122
Phone
(707) 704-1521
NPI assigned
Jul 22, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Dr. Ikponmwosa Christopher OgbeideNPI 1750099313
Title
Adviser
Phone
(707) 704-1521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Developmental Disabilities Clinic/Center 261QD1600X
In Home Supportive Care Agency 253Z00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5865 61St St
Sacramento, CA 95824-3122

Mailing address

5865 61St St
Sacramento, CA 95824-3122
Phone (707) 704-1521

Other names 1

  • GODWIN INCORPORATIVE SUPPORTED LIVING SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Godwin Incorporative Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1851129829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 61ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243122",
            "telephone_number": "707-704-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 61ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243122",
            "telephone_number": "707-704-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODWIN INCORPORATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "OGBEIDE",
        "authorized_official_first_name": "IKPONMWOSA",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADVISER",
        "authorized_official_telephone_number": "707-704-1521",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GODWIN INCORPORATIVE SUPPORTED LIVING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GODWIN INCORPORATIVE SUPPORTED LIVING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.