Provider Demographics
NPI:1528231859
Name:GOODHEART HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:GOODHEART HEALTHCARE SERVICES, INC.
Other - Org Name:GOODHEART HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YESHI
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLDESELASSIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-256-4920
Mailing Address - Street 1:5411-E BACKLICK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151
Mailing Address - Country:US
Mailing Address - Phone:703-256-4920
Mailing Address - Fax:703-256-4921
Practice Address - Street 1:5411-E BACKLICK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151
Practice Address - Country:US
Practice Address - Phone:703-256-4920
Practice Address - Fax:703-256-4921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health