Goodwill Industries of Southern Ohio, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GOODWILL INDUSTRIES OF SOUTHERN OHIO, INC.

Practice address

324 Chillicothe St
Portsmouth, OH 45662-4012

Phone

(740) 353-4394

Fax

(740) 353-5622

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Christina Montgomery

Title

Vocational Rehabilitation Manager

Phone

(740) 353-4394

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1942916242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CHILLICOTHE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 CHILLICOTHE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624012",
            "telephone_number": "740-353-4394",
            "fax_number": "740-353-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF SOUTHERN OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "VOCATIONAL REHABILITATION MANAGER",
        "authorized_official_telephone_number": "740-353-4394"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140817",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Goheen
• Emma Gohmann, O.D.
• Frederick J Gohmann, DDS
• Kaylynn Jo Goines, CNA.HHA.DSP
• Amy Golden, CDCA
• Dakota Goodwin
• Jeremy Goodwin, CMS
• Seleina Goodwin
• Candace Goody
• Shelly Grace Gould, CDCA

• Case Management Agency in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.