Provider Demographics
NPI:1255645677
Name:GOODNIGHT HOLDINGS INC.
Entity type:Organization
Organization Name:GOODNIGHT HOLDINGS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-965-5585
Mailing Address - Street 1:7616 LBJ FWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1100
Mailing Address - Country:US
Mailing Address - Phone:214-382-2997
Mailing Address - Fax:214-613-1018
Practice Address - Street 1:7616 LBJ FWY
Practice Address - Street 2:SUITE 130
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-1100
Practice Address - Country:US
Practice Address - Phone:214-382-2997
Practice Address - Fax:214-613-1018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
32040572821261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic