Provider Demographics
NPI:1790514958
Name:GODWINK HOME AND HEALTH SERVICES LLC
Entity type:Organization
Organization Name:GODWINK HOME AND HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHISOM
Authorized Official - Middle Name:JENNIFER
Authorized Official - Last Name:ARINZE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:832-614-6082
Mailing Address - Street 1:5802 SHADOW GLN APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-6112
Mailing Address - Country:US
Mailing Address - Phone:832-614-6082
Mailing Address - Fax:
Practice Address - Street 1:5802 SHADOW GLN APT 4
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-6112
Practice Address - Country:US
Practice Address - Phone:832-614-6082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-27
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty