Goodwill Industries of St Clair County

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL INDUSTRIES OF ST CLAIR COUNTY

Practice address

1013 26TH St
Port Huron, MI 48060-4853

Phone

(810) 987-9333

Fax

(810) 987-3121

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Philip Edward Papes Jr.

Title

Executive Director

Phone

(810) 987-9333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861699480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 26TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604853",
            "telephone_number": "810-987-9333",
            "fax_number": "810-987-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 26TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604853",
            "telephone_number": "810-987-9333",
            "fax_number": "810-987-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF ST CLAIR COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPES",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-987-9333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richardo Gonzales
• Susan Carol Good
• Kimberly A. Goode, CRNA
• Nancy Ann Goodell
• Erin Michelle Goodman
• Christina Marie Gordon-Higgins
• Vicki Jo Gould-Kling, RN MSN ACNP-BC
• Michael Gould
• Daniel J Goyes, MD
• Grace Home and Life Solutions Inc.

• Developmentally Disabled Services Day Training Agency in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.