Organization Active NPI

LRC Management LLC, Dba the Courtyard of Goshen

  • Skilled Nursing Facility
  • Goshen, IN
National Provider Identifier
1164588315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LRC MANAGEMENT LLC, DBA THE COURTYARD OF GOSHEN
Practice address
2400 College Ave
Goshen, IN 46528-5010
Phone
(574) 533-0351
Fax
(574) 533-5714
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Briggs
Title
Administrator
Phone
(574) 533-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IN Primary

Addresses

Primary practice location

2400 College Ave
Goshen, IN 46528-5010

Mailing address

2400 College Ave
Goshen, IN 46528-5010
Phone (574) 533-0351

Other names 1

  • Courtyard Health Care Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164588315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285010",
            "telephone_number": "574-533-0351",
            "fax_number": "574-533-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285010",
            "telephone_number": "574-533-0351",
            "fax_number": "574-533-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRC MANAGEMENT LLC, DBA THE COURTYARD OF GOSHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "574-533-0351"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.