NPIMap

Organization Active NPI

Tiffany Goshatt

  • Home Health Agency
  • Lathrup Village, MI
National Provider Identifier
1346616455
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4703106260 Issued in MI
Legal business name
TIFFANY GOSHATT
Practice address
18570 San Jose Blvd
Lathrup Village, MI 48076-7801
Phone
(313) 799-6037
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Mrs. Tiffany GoshattNPI 1447609151
Title
LPN
Phone
(313) 799-6037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4703106260 MI Primary

Addresses

Primary practice location

18570 San Jose Blvd
Lathrup Village, MI 48076-7801

Mailing address

18570 San Jose Blvd
Lathrup Village, MI 48076-7801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1346616455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18570 SAN JOSE BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480767801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18570 SAN JOSE BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480767801",
            "telephone_number": "313-799-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY GOSHATT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "GOSHATT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "313-799-6037",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "4703106260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.