MEDICARE: GOOD HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	016873	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558302356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	9304 FOREST LN
Second Line	:	SUITE S225
City	:	DALLAS
State	:	TX
Zip	:	75243-6238
Country	:	US
Telephone Number	:	214-660-8828
Fax Number	:	214-660-8083

Provider Business Practice Location Address
First Line	:	9304 FOREST LN
Second Line	:	SUITE S225
City	:	DALLAS
State	:	TX
Zip	:	75243-6238
Country	:	US
Telephone Number	:	214-660-8828
Fax Number	:	214-660-8083

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JULIUS NNANDILOBI
Credential	:
Telephone Number	:	214-660-8828

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	09/18/2019

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Directions to “GOOD HEALTH SERVICES, INC. ” Practice Location

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