Healthcare Provider Details

I. General information

NPI: 1629904016
Provider Name (Legal Business Name): GODWIN INCORPORATIVE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 WINDMILL WAY STE 11
CARMICHAEL CA
95608-1379
US

IV. Provider business mailing address

5740 WINDMILL WAY STE 11
CARMICHAEL CA
95608-1379
US

V. Phone/Fax

Practice location:
  • Phone: 916-279-3805
  • Fax:
Mailing address:
  • Phone: 916-279-3805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: DR. IKPONMWOSA CHRISTOPHER OGBEIDE
Title or Position: ADVISOR
Credential: PSY.D
Phone: 707-704-1521