Goshen House LLC

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

Legal business name

GOSHEN HOUSE LLC

Practice address

705 Sunset Ave E
Ahoskie, NC 27910-3548

Phone

(252) 398-2558

Fax

(252) 558-0498

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Lila P Peele, RN, BSN

Title

Owner

Phone

(252) 398-2556

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1447903745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CHURCH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279102908",
            "telephone_number": "252-398-2558",
            "fax_number": "252-558-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SUNSET AVE E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103548",
            "telephone_number": "252-398-2558",
            "fax_number": "252-558-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "PEELE",
        "authorized_official_first_name": "LILA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-398-2556",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Cuthrell Ganzert, PTA
• Raghuvir Baxiram Gelot, M.D.
• Genesis Psychological Services, LCC
• Gilda S Robertson
• Alan Goddard, PAC
• Daniel Gottovi, MD
• Ford T Grant, DMD
• Pamela Joyce Gray, MD
• Sarah Griffin
• Christina C Griffiths, FNP

• Child Mental Illness Respite Care in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Child Mental Illness Respite Care in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.