Provider Demographics
NPI:1558302356
Name:GOOD HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:GOOD HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:NNANDILOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-660-8828
Mailing Address - Street 1:9304 FOREST LN
Mailing Address - Street 2:SUITE S225
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6238
Mailing Address - Country:US
Mailing Address - Phone:214-660-8828
Mailing Address - Fax:214-660-8083
Practice Address - Street 1:9304 FOREST LN
Practice Address - Street 2:SUITE S225
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6238
Practice Address - Country:US
Practice Address - Phone:214-660-8828
Practice Address - Fax:214-660-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016873251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3699084-01Medicaid