Goodwill Industries of NE PA

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

226671 Issued in PA

Legal business name

GOODWILL INDUSTRIES OF NE PA

Practice address

243 S Washington St
Wilkes Barre, PA 18701-2802

Phone

(570) 706-9586

Fax

(570) 706-9587

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gerald T Langan

Title

President Ceo

Phone

(570) 343-1166

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1891827846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 PROSPECT AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051858",
            "telephone_number": "570-343-1166",
            "fax_number": "570-343-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 S WASHINGTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187012802",
            "telephone_number": "570-706-9586",
            "fax_number": "570-706-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF NE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "LANGAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "570-343-1166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": "205250",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "226671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sruti S Golthi, DO
• Daniel Goltz, D.O
• April Dawn Gonzales
• Brandon Michael Goodlavage
• Molly Goodman
• Louise A Goodwin, MS, PT
• Megan Gordon
• Richard John Gorgol
• Danielle Nicole Gorski
• Fallon Rose Gorski, MS OTR/L

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.