Goshen Homecare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOSHEN HOMECARE SERVICES LLC

Practice address

604 Washington Ave
Media, PA 19063-3916

Phone

(484) 821-7904

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

George M Maina

Title

Managing Director

Phone

(484) 821-7904

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1457020554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WASHINGTON AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633916",
            "telephone_number": "484-821-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WASHINGTON AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633916",
            "telephone_number": "484-821-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "MAINA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "484-821-7904"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "XML",
            "affiliation": "N",
            "endpointDescription": "XML",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "604 Washington Ave",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190633916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gordon Medical Plus LLC
• Gordon Medical Plus LLC
• Daniel Delano Gordon Sr.
• Karen Christel Goren, LCSW, CGP
• Olivia Gorski, OTR/L
• Donald Jean Goudreau III, D.M.D.
• Bryan Gouge, MA
• Raymond Gould
• Jennifer Hurley Graber, LCSW
• Marc Alexander Gramatges, PSYD, ABPP, CBIS

• Home Health Agency in Media, PA
• Providers in Media, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.