Goodwill Industries of Wayne and Holmes Counties, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GOODWILL INDUSTRIES OF WAYNE AND HOLMES COUNTIES, INC.

Practice address

1034 Nold Ave
Wooster, OH 44691-3642

Phone

(330) 264-1300

Fax

(330) 264-3400

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Susan Gorman

Title

Vice President

Phone

(330) 287-5073

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1952904484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917083",
            "telephone_number": "330-264-1300",
            "fax_number": "330-264-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 NOLD AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913642",
            "telephone_number": "330-264-1300",
            "fax_number": "330-264-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF WAYNE AND HOLMES COUNTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-287-5073"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wooster",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "wooster",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wooster",
            "address_1": "1034 Nold Ave",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446913642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fernanda Gomes Santos DO Nascimento
• Cristian U Gomez Sanchez
• Sarah Christine Gonzales
• Elizabeth Goodman, COUNSELING TRAINEE
• David Charles Goodrich
• Krystal Lynn Goodwin, D.C.
• Cynthia Gorczyca, RN
• Erin Elizabeth Gordon, ATC
• Trent Gordon, QMHS
• Lucille Gould

• Case Management Agency in Wooster, OH
• Providers in Wooster, 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 Nov 18, 2020; 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.