Provider Demographics
NPI:1629724398
Name:GOOD WIND HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:GOOD WIND HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-275-0383
Mailing Address - Street 1:18711 SHERMAN WAY UNIT 103
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4086
Mailing Address - Country:US
Mailing Address - Phone:818-275-0383
Mailing Address - Fax:818-697-9094
Practice Address - Street 1:18711 SHERMAN WAY UNIT 103
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4086
Practice Address - Country:US
Practice Address - Phone:818-275-0383
Practice Address - Fax:818-697-9094
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GWHH INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health