Healthcare Provider Details

I. General information

NPI: 1407659998
Provider Name (Legal Business Name): GOODNESS HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

759 E PAGES LN
CENTERVILLE UT
84014-2556
US

IV. Provider business mailing address

680 N CLARKSON ST
DENVER CO
80218-3202
US

V. Phone/Fax

Practice location:
  • Phone: 720-500-5488
  • Fax: 866-880-7184
Mailing address:
  • Phone: 720-500-5488
  • Fax: 866-880-7184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICAH HUNTZINGER
Title or Position: CEO
Credential:
Phone: 720-500-5488