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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