Provider Demographics
NPI:1104578699
Name:HOME FOR GOOD
Entity type:Organization
Organization Name:HOME FOR GOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:724-880-7684
Mailing Address - Street 1:75 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-9703
Mailing Address - Country:US
Mailing Address - Phone:724-880-7684
Mailing Address - Fax:
Practice Address - Street 1:75 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-9703
Practice Address - Country:US
Practice Address - Phone:724-880-7684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion