The House of Goshen

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE HOUSE OF GOSHEN

Practice address

5403 13TH St NW
Washington, DC 20011-3609

Phone

(202) 834-6152

Fax

(202) 842-0174

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy L Harris

Title

Ceo

Phone

(202) 834-6152

Specialties & licenses 1

Addresses

Other names 1

• the House of gohen Former legal business name

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477673705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 13TH ST NW",
            "address_2": "1220 12TH ST. NW STE. 513",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113609",
            "telephone_number": "202-834-6152",
            "fax_number": "202-842-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113609",
            "telephone_number": "202-834-6152",
            "fax_number": "202-842-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOUSE OF GOSHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-834-6152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the House of gohen",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Clinic/Center in District of Columbia

• 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.