MEDICARE: GOODNESS HOME HEALTH CARE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1891643961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODNESS HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	21704 GOLDEN TRIANGLE RD STE 304
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91350-5837
Country	:	US
Telephone Number	:	310-404-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	21704 GOLDEN TRIANGLE RD STE 304
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91350-5837
Country	:	US
Telephone Number	:	310-404-7399
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. INNOCENT UZOMA DENIS
Credential	:	REGISTERED NURSE
Telephone Number	:	310-404-7399

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “GOODNESS HOME HEALTH CARE LLC ” Practice Location

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