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Organization
GOODWILL HOME HEALTH LLC
Active
Organization
GOODWILL HOME HEALTH LLC
Active
Other names
Aviator Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL HAAS (ADMINISTRATOR)
(214) 548-2163
Entity
Organization
Contact information
Practice address
321 N CENTRAL EXPY, SUITE 350, MCKINNEY, TX 75070-3519
(972) 548-2163
(972) 347-6306
Mailing address
321 N CENTRAL EXPY, SUITE 350, MCKINNEY, TX 75070-3519
(972) 548-2163
(972) 347-6306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015662
STATE LICENSE
—
01
—
HH531K
BCBS PROVIDER NUMBER
—
Enumeration date
04/01/2009
Last updated
05/09/2017
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