GOODWILL INDUSTRIES OF THE SPRINGFIELD/HARTFORD AREA, INC. (NPI# 1033359344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033359344 |
| Entity Type | Organization |
| Organization Name | GOODWILL INDUSTRIES OF THE SPRINGFIELD/HARTFORD AREA, INC. |
| Practice Address |
475 Sumner Ave Springfield MA 01108-2321 |
| Practice Telephone | 4137886984 |
| Practice Fax Number | 4133042682 |
| Mailing Telephone | 4137886984 |
| Mailing Fax Number | 4133042682 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-10-16 |
| Authorized Official Name | STEVEN MUNDAHL (PRESIDENT) |
| Authorized Official Telephone | 4137886984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251J00000X | Nursing Care | RN20578 | MA | Agencies |
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 253J00000X | Foster Care Agency | Agencies |
| Street Address |
475 SUMNER AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01108-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588629240 | Akinniyi Babasola Odutola | Pediatrics | 475 Sumner Ave, Springfield, MA 01108-2321 | 2006-04-18 |
| 1528221629 | Northend Medical Associates Inc | Pediatrics | 475 Sumner Ave, Springfield, MA 01108-2321 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700256419 | Samantha Shirley | Specialist/Technologist | 6 Sumner Avenue, Apt 11, Springfield, MA 01108 | 2015-10-07 |
| 1073868543 | Caroline Alicia Bixby | Counselor | 95 Granby St, Springfield, MA 01108 | 2012-07-19 |
| 1659521508 | Heidi Walter | Counselor | 40 Eleanor Rd, Springfield, MA 01108 | 2008-09-29 |
| 1316154289 | Tamador S Gibreel | Counselor | 15 Lenox Street, Springfield, MA 01108 | 2007-05-17 |
| 1831219203 | Patricia Ann Langlitz | Massage Therapist | 80 Sumner Avenue, Springfield, MA 01108 | 2007-03-30 |
| 1548397920 | Bennett N Gaev | Psychiatry & Neurology | 167 Dwight Rd # 104, Longmeadow, MA 01108 | 2007-02-27 |
| 1841332145 | Emanuel Bonifale Brown | Counselor | 227 Mill Street, Springfield, MA 01108 | 2007-02-13 |
| 1639231863 | Robert Francis Vanvalkenburg | Dentist | 529 White St, Springfield, MA 01108 | 2006-12-14 |
| 1336214238 | Jeffrey Lee Lite | Dentist | 390 Sumner Ave, Springfield, MA 01108 | 2006-11-24 |
| 1043310477 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 615 621belmont Ave, Springfield, MA 01108 | 2006-09-25 |
| Find all providers in zip 01108 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155638 | International Health Solutions, Inc | Foster Care Agency | 260 Cottage St, Springfield, MA 01104-3252 | 2019-07-12 |
| 1578013918 | Lutheran Child and Family Services | Foster Care Agency | 400 S Grand Ave W, Springfield, IL 62704-3718 | 2016-10-10 |
| 1952797045 | Viecare Corp | Foster Care Agency | 442 Chestnut St, Springfield, MA 01107-2008 | 2015-04-15 |
| 1699163261 | Unice Supportive Housing Inc | Foster Care Agency | 38 Forest Park Ave, Springfield, MA 01108-1606 | 2015-01-05 |
| 1821349705 | The Baby Fold, Inc. | Foster Care Agency | 5520 South Sixth St. Frontage Road, Suite 2200, Springfield, IL 62703-5759 | 2012-10-02 |
| 1497050652 | Family Service Center of Sangamon County | Foster Care Agency | 730 E. Vine St, Springfield, IL 62703 | 2011-01-20 |
| 1306161450 | Springfield Catholic Charities | Foster Care Agency | 120 S 11th St, Springfield, IL 62703-1006 | 2010-04-01 |
| 1588993430 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 620 N. Walnut St., Springfield, IL 62702 | 2009-12-23 |
| 1073088837 | Metrocare of Springfield LLC | Foster Care Agency | 125 Liberty St Ste 404, Springfield, MA 01103-1109 | 2018-10-09 |
| 1295214179 | A Better Life Homecare LLC | Foster Care Agency | 20 Maple St Fl 2, Springfield, MA 01103-1951 | 2018-08-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01108 |
Please comment or provide details below to improve the information on GOODWILL INDUSTRIES OF THE SPRINGFIELD/HARTFORD AREA, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.