Provider Type Icon

GOODWILL INDUSTRIES-SUNCOAST INC. NPI 1598019275


NPI Information

NPI: 1598019275
Provider Name: GOODWILL INDUSTRIES-SUNCOAST, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
10596 GANDY BLVD N
ST PETERSBURG, FL
ZIP 33702
Phone: (727) 523-1512
Get Directions

GOODWILL INDUSTRIES-SUNCOAST, INC. is a day training developmentally disabled services in St Petersburg, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GOODWILL INDUSTRIES-SUNCOAST, INC. NPI is 1598019275. The provider is registered as an organization entity type.

The provider's business location address is:

10596 GANDY BLVD N
ST PETERSBURG, FL
ZIP 33702-422
Phone: (727) 523-1512
Fax: (727) 450-5214

The provider's authorized official is Deborah Ann Passerini .
The authorized official title is Ceo Designate/exec Vp/coo and has the following contact phone number (727) 523-1512.

The enumeration date for this NPI number is 11/2/2012 and was last updated on 11/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services024013398FLORIDANo
2251C00000XDay Training, Developmentally Disabled Services024013396FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1024013398MEDICAIDFLORIDA
2024013396MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.