Organization Active NPI

Goshen Home Health Care LLC.

  • In Home Supportive Care Agency
  • Montezuma, GA
National Provider Identifier
1093318826
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOSHEN HOME HEALTH CARE LLC.
Practice address
246 Travelers Rest Rd
Montezuma, GA 31063-2232
Phone
(478) 957-8431
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Alethea Holmes
Title
Ceo
Phone
(478) 957-8431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

246 Travelers Rest Rd
Montezuma, GA 31063-2232

Mailing address

PO Box 323
Montezuma, GA 31063-0323
Phone (478) 957-8431

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1093318826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310630323",
            "telephone_number": "478-957-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 TRAVELERS REST RD",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310632232",
            "telephone_number": "478-957-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HOME HEALTH CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-957-8431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.