Goodwill Industries of the Heartland

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL INDUSTRIES OF THE HEARTLAND

Practice address

1410 S First Ave
Iowa City, IA 52244-1696

Phone

(319) 337-4158

Fax

(319) 337-7369

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tamera M Erb

Title

Cfo

Phone

(319) 337-4158

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922133792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S FIRST AVE",
            "address_2": "PO 1696",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522441696",
            "telephone_number": "319-337-4158",
            "fax_number": "319-337-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S FIRST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522441696",
            "telephone_number": "319-337-4158",
            "fax_number": "319-337-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF THE HEARTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ERB",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "319-337-4158",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1232918",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232918",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147074",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Goodburn, LMSW
• Michael J Goodheart, MD
• Scott Delos Goodno
• Amanda Austa Goodrich, M.A., LMHC
• Amber Lois Goodrich, CNM
• Kristin Kay Goodwin, RN
• Adrian Chuen Chiang Gooi, M.D., FRCS(C)
• Naga Sumanth Reddy Gopireddy, MBBS
• Nicole Elizabeth Jansen Gorall, MD
• Darren Mikael Gordon, MD, PHD

• Developmentally Disabled Services Day Training Agency in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Developmentally Disabled Services Day Training Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.