Provider Demographics
NPI:1407659998
Name:GOODNESS HEALTH, LLC
Entity type:Organization
Organization Name:GOODNESS HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-500-5488
Mailing Address - Street 1:680 N CLARKSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3202
Mailing Address - Country:US
Mailing Address - Phone:720-500-5488
Mailing Address - Fax:866-880-7184
Practice Address - Street 1:759 E PAGES LN
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-2556
Practice Address - Country:US
Practice Address - Phone:720-500-5488
Practice Address - Fax:866-880-7184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOODNESS HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty