Goodwill Foundation Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

GOODWILL FOUNDATION INC.

Practice address

6257 Rhode Island Ave N
Minneapolis, MN 55428-2832

Phone

(801) 814-8999

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Minnie M Michael

Title

President ,Coo

Phone

(801) 814-8999

Specialties & licenses 1

Addresses

Other names 1

• na Former legal business name

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1992483812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6257 RHODE ISLAND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554282832",
            "telephone_number": "801-814-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 RHODE ISLAND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554282832",
            "telephone_number": "801-814-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MINNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT ,COO",
        "authorized_official_telephone_number": "801-814-8999"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathryn Goodrich, PT
• Brian Keith Goodroad, CNP
• Sara Jean Goodrum
• Madeline Goodson, DPT
• Goodtimes Home Care Agency
• Amanda Goodwin, LPCC
• Emilie Goodyear, MDCM
• Sundus Gooni
• Rajaram Gopalakrishnan, DDS
• Anusha L Gopalam, MD

• Assisted Living Facility (Mental Illness) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Assisted Living Facility (Mental Illness) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.