Provider Demographics
NPI:1225435985
Name:GOAL, INC.
Entity Type:Organization
Organization Name:GOAL, INC.
Other - Org Name:MODERN HOMECARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D'JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-501-0530
Mailing Address - Street 1:PO BOX 6925
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-6925
Mailing Address - Country:US
Mailing Address - Phone:281-501-0530
Mailing Address - Fax:
Practice Address - Street 1:800 WILCREST DR
Practice Address - Street 2:SUITE 204
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-6301
Practice Address - Country:US
Practice Address - Phone:281-501-0530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-24
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health