Provider Demographics
NPI:1093426678
Name:GOOD NEWS CARE, LLC
Entity Type:Organization
Organization Name:GOOD NEWS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAIMANOT
Authorized Official - Middle Name:
Authorized Official - Last Name:KITILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-530-4151
Mailing Address - Street 1:7776 S DUQUESNE WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1347
Mailing Address - Country:US
Mailing Address - Phone:720-530-4151
Mailing Address - Fax:
Practice Address - Street 1:7776 S DUQUESNE WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1347
Practice Address - Country:US
Practice Address - Phone:720-530-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health