Healthcare Provider Details

I. General information

NPI: 1417778887
Provider Name (Legal Business Name): GOODHELP HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1699 GLENN ABBEY DR
DAYTON OH
45420-1375
US

IV. Provider business mailing address

1699 GLENN ABBEY DR
DAYTON OH
45420-1375
US

V. Phone/Fax

Practice location:
  • Phone: 937-586-8995
  • Fax:
Mailing address:
  • Phone: 937-586-8995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERICK MIZONE
Title or Position: CEO
Credential:
Phone: 937-586-8995