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NPI Code Detail

MEDICARE: GODWINK HOME AND HEALTH SERVICES LLC

MEDICARE: GODWINK HOME AND HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
23747P1801XPersonal Care Attendant
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1790514958
Entity Type Code : Organization
Provider Name (Legal Business Name) : GODWINK HOME AND HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 5802 SHADOW GLN APT 4
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-6112
Country : US
Telephone Number : 832-614-6082
Fax Number :
Provider Business Practice Location Address
First Line : 5802 SHADOW GLN APT 4
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-6112
Country : US
Telephone Number : 832-614-6082
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : CHISOM JENNIFER ARINZE
Credential : RN, BSN
Telephone Number : 832-614-6082
Provider Enumeration Date : 07/27/2024
Last Update Date : 04/03/2025

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Directions to “GODWINK HOME AND HEALTH SERVICES LLC ” Practice Location

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