Als Goshen, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALS GOSHEN, INC

Practice address

1659 State Route 28
Goshen, OH 45122-9705

Phone

(740) 415-1138

Fax

(201) 661-2846

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Bryan Casey

Title

President

Phone

(740) 350-9095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1659998565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26261 MAIN ST STE 2",
            "city": "COOLVILLE",
            "state": "OH",
            "postal_code": "457239205",
            "telephone_number": "740-415-1138",
            "fax_number": "201-661-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 STATE ROUTE 28",
            "city": "GOSHEN",
            "state": "OH",
            "postal_code": "451229705",
            "telephone_number": "740-415-1138",
            "fax_number": "201-661-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALS GOSHEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-350-9095"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann Alsup, MSN, CCRN, CNS, APRN
• Cheryl Barrett
• Thomas E Bauer, CNP
• Jaelin A Beachy, PSYD, LP
• Kelsy Beare

• All providers in Goshen, OH
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.