EASTER SEALS GOODWILL ND, INC. (NPI# 1720492366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720492366 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS GOODWILL ND, INC. |
| Practice Address |
211 Collins Ave Mandan ND 58554-3106 |
| Practice Telephone | 7016636828 |
| Practice Fax Number | 7016636859 |
| Mailing Telephone | 7016636828 |
| Mailing Fax Number | 7016636859 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Authorized Official Name | GORDON L. HAUGE (PRESIDENT/CEO) |
| Authorized Official Telephone | 7016636828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101343 | Easter Seals Goodwill Nd, Inc. | Community/Behavioral Health | 211 Collins Ave, Mandan, ND 58554-3106 | 2020-10-16 |
| 1326646704 | Easter Seals Goodwill Nd, Inc. | In Home Supportive Care | 211 Collins Ave, Mandan, ND 58554-3106 | 2020-10-16 |
| Street Address |
211 COLLINS AVE |
| City | MANDAN |
| State | ND |
| Zip Code | 58554-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101343 | Easter Seals Goodwill Nd, Inc. | Community/Behavioral Health | 211 Collins Ave, Mandan, ND 58554-3106 | 2020-10-16 |
| 1326646704 | Easter Seals Goodwill Nd, Inc. | In Home Supportive Care | 211 Collins Ave, Mandan, ND 58554-3106 | 2020-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1871029033 | Anthony Kozojed | Case Manager/Care Coordinator | 701 16th Ave Se, Mandan, ND 58554 | 2017-05-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1497157895 | West River Head Start | Public Health or Welfare | 1004 7th St Nw, Mandan, ND 58554 | 2014-09-17 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1689953036 | Timothy Lee Ulledahl | Physical Therapy Assistant | 1833 East Bismarck Expressway, Bismarck, ND 58554 | 2011-08-16 |
| 1316232887 | Nagel Family Chiropractic and Wellness LLC | Chiropractor | 2008 Twin City Drive, Mandan, ND 58554 | 2011-06-13 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| Find all providers in zip 58554 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255824256 | Omega Home Care Services LLC | Nursing Care | 42 Sims St Ste 15, Dickinson, ND 58601-5116 | 2018-06-13 |
| 1568851657 | Angels Hands Healthcare | Nursing Care | 3701 10th St Ne, Minot, ND 58703-3505 | 2015-01-13 |
| 1144636051 | Sheridan Memorial Home | Nursing Care | 610 South Main, Mcclusky, ND 58463-0350 | 2014-07-11 |
| 1316352669 | Corrie Tivis | Nursing Care | 1929 N 11th St Apt 5, Bismarck, ND 58501-1916 | 2014-06-25 |
| 1821402512 | Nicole Mord | Nursing Care | 817 17th St S, Fargo, ND 58103-2557 | 2014-06-20 |
| 1013326461 | United Tribes Technical College | Nursing Care | 3315 University Dr, Bismarck, ND 58504-7565 | 2014-08-11 |
| 1770778748 | Western Horizons Living Centers | Nursing Care | 1104 Highway 12, Hettinger, ND 58639-7533 | 2007-09-12 |
| 1740391853 | Pride Wilton Inc. | Nursing Care | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
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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.