Provider Demographics
NPI:1114603701
Name:GOODNESS & PARADISE INC
Entity Type:Organization
Organization Name:GOODNESS & PARADISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:CHUDI
Authorized Official - Last Name:EJIKEMEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-226-4414
Mailing Address - Street 1:4625 RIDDLE DR
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5702
Mailing Address - Country:US
Mailing Address - Phone:443-226-4414
Mailing Address - Fax:
Practice Address - Street 1:4625 RIDDLE DR
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5702
Practice Address - Country:US
Practice Address - Phone:443-226-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care