Goodwill Healthcare Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010491 Issued in IL

Legal business name

GOODWILL HEALTHCARE SERVICES INC.

Practice address

9942 S Western Ave
Chicago, IL 60643-1831

Phone

(773) 779-8556

Fax

(773) 779-8660

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Beatrice N Mbaocha

Title

Administrator

Phone

(708) 612-5628

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LFG Frontliners Holdings, Inc.

  dba Frontliners Home Health

  • Home Health Agency
  • Lombard, IL
  • NPI 1134866841

  Sold to, 2022-05-13

  CMS change of ownership

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1871644146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9942 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431831",
            "telephone_number": "773-779-8556",
            "fax_number": "773-779-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9942 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431831",
            "telephone_number": "773-779-8556",
            "fax_number": "773-779-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MBAOCHA",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-612-5628",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001010491",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Goodrich
• Valerie Day Goodrich, M.D.
• Crystal Goods, APRN, PMHNP-BC
• Lemarquis Goods II
• Matthew Scott Goodsmith, MD
• Pamela Denise Goodwin-Cole, MD
• Alyssa M Goodwin, MEDICAL STUDENT
• Brittany Goodwin
• Elise J Goodwin
• James Goodwin, M.D.

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.