NPIMap

Organization Active NPI

Goshen Hospital Association Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Goshen, IN
National Provider Identifier
1558408575
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
GOSHEN HOSPITAL ASSOCIATION INC
Doing business as
Care At Home Services
Practice address
1721 S Main St
Goshen, IN 46526-4723
Phone
(574) 535-2700
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
James O Dague
Title
Chief Executive Officer
Phone
(574) 535-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

1721 S Main St
Goshen, IN 46526-4723

Mailing address

1721 S Main St
Goshen, IN 46526-4723
Phone (574) 535-2700

Other identifiers 1

IdentifierTypeStateIssuer
000000098260OtherINBCBS

Other names 1

  • Care At Home Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goshen General Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1558408575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264723",
            "telephone_number": "574-535-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264723",
            "telephone_number": "574-535-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "DAGUE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "574-535-2700"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000098260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care At Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.