MR. ANDREW GOODMAN (NPI# 1679721161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679721161 |
| Entity Type | Individual |
| Full Name | MR. ANDREW GOODMAN |
| Practice Address |
14960 E Park St Capac MI 48014-3177 |
| Practice Telephone | 8103954343 |
| Mailing Telephone | 8103954343 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2009-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952553885 | Andrew Goodman | Chiropractor | 4708 W Plano Pkwy Ste 300, Plano, TX 75093-5336 | 2008-10-22 |
| 1174500631 | Andrew M Goodman | Optometrist | 4032 Campbell Rd, Suite B, Newport News, VA 23602-4252 | 2005-12-27 |
| 1194220210 | Andrew Goodman | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2018-03-29 |
| 1073902318 | Andrew Goodman | Social Worker | 131 W Broad St, Rochester, NY 14614-1103 | 2015-01-09 |
| 1275793283 | Andrew Goodman | Internal Medicine | 2400 Patterson St Ste 502, Nashville, TN 37203 | 2008-06-12 |
| 1770785172 | Andrew W Goodman | Family Medicine | 356 W 18th St, New York, NY 10011-4401 | 2007-06-05 |
| 1710019260 | Andrew L Goodman | Social Worker | 211 W 56th St, 31 G, New York, NY 10019-4312 | 2007-03-11 |
| 1346265568 | Andrew D Goodman | Psychiatry & Neurology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2006-07-12 |
| Street Address |
14960 E PARK ST |
| City | CAPAC |
| State | MI |
| Zip Code | 48014-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205837960 | Robert Charles Glapinski | Family Medicine | 14960 E Park St, Capac, MI 48014-3177 | 2005-08-03 |
| 1326317603 | Capac Family Medicine | Clinic/Center | 14960 E Park St, Capac, MI 48014-3177 | 2011-12-15 |
| 1891083549 | Stacy M Wynn | Social Worker | 14960 E Park St, Capac, MI 48014-3177 | 2011-07-15 |
| 1568785269 | Anthony Carey Fioravanti | Community Health Worker | 14960 E Park St, Capac, MI 48014-3177 | 2010-03-09 |
| 1689905770 | Kellie Lynn Dunlap | Community Health Worker | 14960 E Park St, Capac, MI 48014-3177 | 2010-01-29 |
| 1972795979 | Kimberly Anne Rhein | Counselor | 14960 E Park St, Capac, MI 48014-3177 | 2007-08-14 |
| 1154413888 | Kristine Ann Meilstrup | Adult Companion | 14960 E Park St, Capac, MI 48014-3177 | 2006-09-29 |
| 1487762324 | Karen Sue Kopka | Counselor | 14960 E Park St, Capac, MI 48014-3177 | 2006-08-29 |
| 1184737272 | Tracy Ann Matthews | Social Worker | 14960 E Park St, Capac, MI 48014-3177 | 2006-08-16 |
| 1093728719 | Marney Beth Studaker-cordner | Social Worker | 14960 E Park St, Capac, MI 48014-3177 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911961 | Capac Chiropractic Pllc | Chiropractor | 116 North Main Street, Capac, MI 48014 | 2007-03-20 |
| 1366509523 | Capac Medical Center PC | Family Medicine | 4316 Capac Road, Capac, MI 48014 | 2007-01-03 |
| 1346358710 | Sds Pharmacy Inc | Pharmacy | 136 N Main Street, Capac, MI 48014 | 2006-08-27 |
| 1861424541 | Todd E. Grubb | Chiropractor | 116 N Main St, Capac, MI 48014 | 2006-07-06 |
| 1912057654 | Tammy Justice | Technician | 16155 Petz Rd, Mussey, MI 48014-1605 | 2007-01-12 |
| 1598280703 | Alyssa Leeann Mcdonald | Occupational Therapist | 14070 Foley Rd, Mussey, MI 48014-2000 | 2017-08-08 |
| 1306981675 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 14675 Downey Rd, Capac, MI 48014-3016 | 2007-02-21 |
| 1578573374 | Karina Sarah Suzanne Henry | Day Training/Habilitation Specialist | 308 N Neeper St, Capac, MI 48014-3036 | 2006-08-08 |
| 1245610864 | Courtney Rawlins | Technician, Other | 16016 W Park St, Mussey, MI 48014-3072 | 2015-06-09 |
| 1356735864 | Amy Lynn Simpson | Technician, Other | 207 E Aldrich St, Capac, MI 48014-3103 | 2015-03-23 |
| Find all providers in zip 48014 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154413888 | Kristine Ann Meilstrup | Adult Companion | 14960 E Park St, Capac, MI 48014-3177 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131112 | Kimberly Ann Walker | Adult Companion | 452 Bay St, Pontiac, MI 48342-1912 | 2020-10-13 |
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1346883618 | Barbara Rodriguez | Adult Companion | 2295 N Winn Rd, Mount Pleasant, MI 48858-9736 | 2019-10-19 |
| 1407415730 | Monesha Maria Moore | Adult Companion | 29555 Laurel Woods Dr Apt 205, Southfield, MI 48034-4664 | 2019-06-11 |
| 1407412638 | Geisha Shanee Burton | Adult Companion | 8160 E Lantz St, Detroit, MI 48234-3303 | 2019-05-13 |
| 1639636855 | Latesa Renae Thomas | Adult Companion | 11611 Grayton St, Detroit, MI 48224-1643 | 2019-02-24 |
| 1912470907 | Austyn Desean Hollingshed | Adult Companion | 485 Hustler St, Gwinn, MI 49841-2902 | 2019-01-02 |
| 1437626256 | Carrie Lynn Dextrom | Adult Companion | 9200 W Walker Rd, Manton, MI 49663-9315 | 2018-10-30 |
| 1205323086 | Theresa A Akin | Adult Companion | 20485 Goddard St Apt 102, Detroit, MI 48234-1354 | 2018-04-17 |
| 1114442084 | Rhonda Lewis | Adult Companion | 18603 Mendota St, Detroit, MI 48221-1911 | 2017-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ANDREW GOODMAN.
| 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.