Provider Demographics
NPI:1326761347
Name:GOOD WAY HOME HEALTH INC.
Entity Type:Organization
Organization Name:GOOD WAY HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADHZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-666-2241
Mailing Address - Street 1:11871 SHELDON ST STE C
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-1583
Mailing Address - Country:US
Mailing Address - Phone:747-666-2241
Mailing Address - Fax:747-666-2242
Practice Address - Street 1:11871 SHELDON ST STE C
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-1583
Practice Address - Country:US
Practice Address - Phone:747-666-2241
Practice Address - Fax:747-666-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health