Organization Active NPI

Goshen Home Health Services Inc

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1609196484
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOSHEN HOME HEALTH SERVICES INC
Practice address
1000 N Belt Line Rd
Ste 203
Irving, TX 75061-4069
Phone
(972) 600-9712
Fax
(972) 600-9757
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Mark Fundoh
Title
Owner/Admin
Phone
(972) 600-9712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1000 N Belt Line Rd
Ste 203
Irving, TX 75061-4069

Mailing address

P.O. Box 16221
Irving, TX 75016-7221
Phone (972) 600-9712

National Provider Directory

National Provider Directory

Locations

1000 N Belt Line Rd
Ste 203
Irving, TX 75061
Phone (972) 600-9712

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1609196484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 16221",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750167221",
            "telephone_number": "972-600-9712",
            "fax_number": "972-600-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BELT LINE RD",
            "address_2": "STE 203",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614069",
            "telephone_number": "972-600-9712",
            "fax_number": "972-600-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "FUNDOH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "972-600-9712"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.