Healthcare Provider Details

I. General information

NPI: 1225746100
Provider Name (Legal Business Name): GOODCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 BAKER ST
LONGMONT CO
80501-3452
US

IV. Provider business mailing address

1000 N WEST AVE STE 210
SIOUX FALLS SD
57104-1314
US

V. Phone/Fax

Practice location:
  • Phone: 303-772-2255
  • Fax:
Mailing address:
  • Phone: 605-403-0933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: POLLY ANN RAMES
Title or Position: PRESIDENT
Credential:
Phone: 605-403-0933