Provider Demographics
NPI:1295462794
Name:GOOD AND WELL HOMES, INC.
Entity type:Organization
Organization Name:GOOD AND WELL HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:V
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-642-3668
Mailing Address - Street 1:5527 BURNING TREE DR
Mailing Address - Street 2:
Mailing Address - City:LA CANADA FLINTRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91011-2860
Mailing Address - Country:US
Mailing Address - Phone:818-642-3668
Mailing Address - Fax:
Practice Address - Street 1:7014 SHIRLEY LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307-3250
Practice Address - Country:US
Practice Address - Phone:818-642-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No251J00000XAgenciesNursing Care