Organization Active NPI

Land of Goshen Treatment Center, Inc

  • Community/Behavioral Health Agency
  • Grayson, KY
National Provider Identifier
1124815972
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAND OF GOSHEN TREATMENT CENTER, INC
Doing business as
Appalachian Life Center
Practice address
101 Fraley Miller PLZ Ste 201
Grayson, KY 41143-1561
Phone
(606) 369-0139
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Rachael L Murphy
Title
Office Admin
Phone
(740) 357-0725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

101 Fraley Miller PLZ Ste 201
Grayson, KY 41143-1561

Mailing address

101 Fraley Miller PLZ Ste 201
Grayson, KY 41143-1561

Other names 1

  • Appalachian Life Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Land of Goshen Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Fraley Miller Plz
Ste 201
Grayson, KY 41143
Phone (606) 369-0139

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1124815972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FRALEY MILLER PLZ STE 201",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FRALEY MILLER PLZ STE 201",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431561",
            "telephone_number": "606-369-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND OF GOSHEN TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "740-357-0725"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grayson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.