Gowo Affordable Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GOWO AFFORDABLE CARE, LLC

Practice address

1994 Gallatin Road N Suite #304
Madison, TN 37115

Phone

(615) 618-1992

Fax

(615) 239-8363

NPI assigned

Jun 8, 2022

Organization subpart

Yes

Parent organization

GOWO AFFORDABLE CARE, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Daniel Ooko Aluoch, ED.D.

Title

C.E.O.

Phone

(615) 618-1992

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Gowo Affordable Care LLC

Locations

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1215666953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 GALLATIN ROAD N SUITE #304",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-618-1992",
            "fax_number": "615-239-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 GALLATIN ROAD N SUITE #304",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-618-1992",
            "fax_number": "615-239-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOWO AFFORDABLE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOWO AFFORDABLE CARE, LLC",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "ALUOCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "OOKO",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "615-618-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QO57120",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Madison, TN
• Providers in Madison, TN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.