Healthcare Provider Details

I. General information

NPI: 1689504169
Provider Name (Legal Business Name): GOOD WORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11671 ANNETTE ST
CALDWELL ID
83605-5648
US

IV. Provider business mailing address

11671 ANNETTE ST
CALDWELL ID
83605-5648
US

V. Phone/Fax

Practice location:
  • Phone: 208-694-1985
  • Fax:
Mailing address:
  • Phone: 208-694-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA COLBERT
Title or Position: OWNER
Credential:
Phone: 208-999-1266