Provider Demographics
NPI:1891036489
Name:ENOCK MUPOPERI
Entity Type:Organization
Organization Name:ENOCK MUPOPERI
Other - Org Name:GOODCARE HOME HEALTH AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ENOCK
Authorized Official - Middle Name:
Authorized Official - Last Name:MUPOPERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-772-7079
Mailing Address - Street 1:11555 FERGUSON ROAD SUITE 400
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228
Mailing Address - Country:US
Mailing Address - Phone:214-772-7079
Mailing Address - Fax:
Practice Address - Street 1:11555 FERGUSON ROAD SUITE 400
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228
Practice Address - Country:US
Practice Address - Phone:214-772-7079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty