Organization Active NPI

Goodwill Foundation Inc

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1992309371
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOODWILL FOUNDATION INC
Practice address
15 21St St S Ste 105
Fargo, ND 58103-1435
Phone
(701) 850-1231
NPI assigned
Nov 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Minnie Tarwoe
Title
Director
Phone
(701) 850-1231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15 21St St S Ste 105
Fargo, ND 58103-1435

Mailing address

2432 6TH Ave W Apt 3
Dickinson, ND 58601-2757

Other practice location 1

682 18th Ave E
Dickinson, ND 58601-6320
Phone (018) 501-2317

National Provider Directory

National Provider Directory

Locations

682 18th Ave E
Dickinson, ND 58601

15 21st St S
Ste 105
Fargo, ND 58103
Phone (701) 850-1231

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1992309371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 6TH AVE W APT 3",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 21ST ST S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031435",
            "telephone_number": "701-850-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "682 18th Ave E",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586016320",
            "country_code": "US",
            "telephone_number": "018-501-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOODWILL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "TARWOE",
        "authorized_official_first_name": "MINNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-850-1231"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.