Healthcare Provider Details
I. General information
NPI: 1689268070
Provider Name (Legal Business Name): GOODNEWS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/25/2021
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
210 KNOLL VIEW DR
PHILLIPSBURG NJ
08865-3552
US
IV. Provider business mailing address
210 KNOLL VIEW DR
PHILLIPSBURG NJ
08865-3552
US
V. Phone/Fax
- Phone: 201-218-6225
- Fax:
- Phone: 201-838-5010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OGECHI
OKARO
Title or Position: DIRECTOR
Credential: RN
Phone: 201-218-6225