Provider Demographics
NPI:1992230460
Name:GOODWILL CARING HEALTHCARE SERVICES
Entity type:Organization
Organization Name:GOODWILL CARING HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORA
Authorized Official - Middle Name:P
Authorized Official - Last Name:GOODWILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:908-420-2356
Mailing Address - Street 1:2 CLERICO LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1620
Mailing Address - Country:US
Mailing Address - Phone:732-325-1683
Mailing Address - Fax:
Practice Address - Street 1:2 CLERICO LN
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1620
Practice Address - Country:US
Practice Address - Phone:732-325-1683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0255500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health