Goodwill Home Care Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOODWILL HOME CARE AGENCY, LLC

Practice address

5421 Old Poole Rd Ste 105
Raleigh, NC 27610-3285

Phone

(800) 998-0929

NPI assigned

Jul 12, 2022

Organization subpart

No

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

Authorized official

Name

Raquel Thomas

Title

Owner

Phone

(336) 587-8797

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1912631482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 OLD POOLE RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103285",
            "telephone_number": "800-998-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 OLD POOLE RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103285",
            "telephone_number": "800-998-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-587-8797"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6636",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine R Goodrich
• Goodside Health Medical, PLLC
• Brooke Ferraro Goodson, PT, DPT
• Carol Goodson, CRNA
• Heather Goodson, LCMHC, LCAS
• Goodwill Transportation Services, LLC
• Dawn M Goodwin, PHARMD
• Denine M Goodwin
• Madonna Mason Goodwin, FNP-C
• Goodworth Group Inc

• Home Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.