GOODWILL BENEFITS GROUP, LLC (NPI# 1699219543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699219543 |
| Entity Type | Organization |
| Organization Name | GOODWILL BENEFITS GROUP, LLC |
| Practice Address |
10180 S Wasatch Blvd Sandy UT 84092-4575 |
| Practice Telephone | 8018456721 |
| Practice Fax Number | 8018784686 |
| Mailing Telephone | 8018456721 |
| Mailing Fax Number | 8018784686 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | MRS. NICOLE NELSON GOODWILL (OWNER/BROKER) |
| Authorized Official Telephone | 8018456721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | 148026 | UT | Agencies |
| Street Address |
10180 S WASATCH BLVD |
| City | SANDY |
| State | UT |
| Zip Code | 84092-4575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580687 | Michael L Wolf | Registered Nurse | 9915 S 2240 E, Sandy, UT 84092 | 2018-08-29 |
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1154737427 | Sandy Shores Pediatric Dentistry | Dentist | 1434 E. 9400 S. #205, Sandy, UT 84092 | 2014-07-08 |
| 1629349915 | David Adams | Counselor | 10306 South 2375 East, Alta, UT 84092 | 2012-01-19 |
| 1043511587 | Edward Chipman Spencer | Orthopaedic Surgery | 3260 East 9425 South, Sandy, UT 84092 | 2010-11-16 |
| 1669785440 | David Jonathan Wilde | Counselor | 10038 S Countrywood Dr, Sandy, UT 84092 | 2010-07-21 |
| 1396057592 | Joshua Taylor Silva | Preventive Medicine | 2878 E Wasatch Blvd, Sandy, UT 84092 | 2010-07-06 |
| 1467619809 | Deborah J. Dean | Clinical Nurse Specialist | 9768 Eastdell Dr, Sandy, UT 84092 | 2008-05-22 |
| 1780781682 | Michael Ryan Adams | Family Medicine | 7998 South 1300 East, Sandy, UT 84092 | 2006-09-20 |
| 1194853390 | William S Hoge | Pharmacist | 9500 E Little Cottonwood Cny Rd, Snowbird, UT 84092-0000 | 2007-03-01 |
| Find all providers in zip 84092 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942637749 | Yardley Insurance Agency Inc | Supports Brokerage | 609 North Main Street, #1, Panguitch, UT 84759 | 2013-10-11 |
| 1992058028 | Gcs Foundation | Supports Brokerage | 716 East 4500 South, Suite N160, Murray, UT 84107 | 2012-10-26 |
| 1235481763 | Mulberry Hollow Community Services | Supports Brokerage | 2885 E Cherry Blossom Ln, Holladay, UT 84117-4607 | 2012-10-08 |
| 1295946499 | Carepoint Network Inc | Supports Brokerage | 425 E 5350 S, Ste 235, Ogden, UT 84405-6946 | 2007-05-28 |
| 1376678268 | Preston Family Chiropractic | Supports Brokerage | 745 Washington Blvd, Ogden, UT 84404-4953 | 2007-02-22 |
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| 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.