GOODWILL INDUSTRIES OF SOUTH TEXAS (NPI# 1336620889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336620889 |
| Entity Type | Organization |
| Organization Name | GOODWILL INDUSTRIES OF SOUTH TEXAS |
| Practice Address |
2961 S Port Ave Corpus Christi TX 78405-2098 |
| Practice Telephone | 3618844068 |
| Practice Fax Number | 3618844090 |
| Mailing Telephone | 3618844068 |
| Mailing Fax Number | 3618844090 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | RACHEL V. LOERA (VICE PRESIDENT OF MISSION SERVICES) |
| Authorized Official Telephone | 3618844068 |
| Authorized Official Credential | MASTER'S DEGREE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOODWILL INDUSTRIES OF SOUTH TEXAS CONTRACT SERVICES INC. | 2961 S Port Ave, Corpus Christi, TX 78405-2038 |
| Street Address |
2961 S PORT AVE |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78405-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147938 | Joshua Abraham Betancourt | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd.,5 West, Corpus Christi, TX 78405 | 2017-04-07 |
| 1407303068 | Ray Fernandez | Independent Medical Examiner | 2610 Hospital Blvd, Medical Examiner Dept, Corpus Christi, TX 78405 | 2016-09-01 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1003234493 | Alma S Rigona, M.d., P.a. | Pediatrics | 2418 Morgan Avenue, Corpus Christi, TX 78405 | 2014-04-02 |
| 1780022491 | Texas A&m Health Science Center-coastal Bend Health Education Center | Nutritionist | 4101 Old Brownsville Road, Hs1 Building, Suite 262, Corpus Christi, TX 78405 | 2013-06-05 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| 1427298843 | E&l Construction | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2823 Coleman St, Corpus Christi, TX 78405 | 2009-02-25 |
| 1124205109 | Gulfshore Services Inc | Clinical Medical Laboratory | 401 South Padre Island Road, Suit 102, Corpus Christi, TX 78405 | 2008-01-22 |
| Find all providers in zip 78405 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
| 1447692587 | Educare Community Living Corporation - Texas | Community/Behavioral Health | 4230 S. Padre Island Drive, Suite B, Corpus Christi, TX 78411 | 2013-07-17 |
| 1013356575 | Educare Community Living Corporation - Texas | Community/Behavioral Health | 4230 S. Padre Island Dr., Suite B, Corpus Christi, TX 78411 | 2013-06-18 |
| 1649618984 | Educare Community Living Corporation - Texas | Community/Behavioral Health | 4320 S Padre Island Dr, Suite B, Corpus Christi, TX 78411-4408 | 2013-06-10 |
| 1336302116 | Bea Saenz,ms,lpc | Community/Behavioral Health | 15374 Mutiny Ct, Corpus Christi, TX 78418-6342 | 2008-07-02 |
| 1740442102 | The Alma Center, Inc. | Community/Behavioral Health | 4802 Alma St, Corpus Christi, TX 78411-3428 | 2008-06-27 |
| 1376703934 | Erica Coco Ndima | Community/Behavioral Health | 4205 Snowbird Dr, Corpus Christi, TX 78413-4402 | 2008-06-16 |
| 1669674883 | Coastal Area Support Alternatives, Inc. | Community/Behavioral Health | 5809 Patton St, Corpus Christi, TX 78414-2428 | 2007-06-01 |
| 1386705473 | Avail Solutions, Inc. | Community/Behavioral Health | 4455 S. Padre Island Drive, Suite #44b, Corpus Christi, TX 78411-5101 | 2006-12-12 |
| 1407208671 | Optimal Counseling Services Pllc | Community/Behavioral Health | 5926 S Staples St, Suite D-9, Corpus Christi, TX 78413-3860 | 2016-07-12 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78405 |
Please comment or provide details below to improve the information on GOODWILL INDUSTRIES OF SOUTH TEXAS.
| 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.