Provider Demographics
NPI:1760819213
Name:GOODNEWS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:GOODNEWS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IKONNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-288-5140
Mailing Address - Street 1:1804 GARRETT DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-6312
Mailing Address - Country:US
Mailing Address - Phone:469-288-5140
Mailing Address - Fax:972-395-9358
Practice Address - Street 1:1804 GARRETT DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6312
Practice Address - Country:US
Practice Address - Phone:469-288-5140
Practice Address - Fax:972-395-9358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health