City of Goshen Health Services LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CITY OF GOSHEN HEALTH SERVICES LLC

Doing business as

COGHS

Practice address

2828 NW 57TH St Ste 200
Oklahoma City, OK 73112-7070

Phone

(240) 918-7586

Fax

(405) 938-1422

NPI assigned

Aug 15, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Raphael Ndam AduaNPI 1124376538

Title

Ceo

Phone

(240) 918-7586

Specialties & licenses 5

Addresses

Other names 1

• COGHS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raphael Adua

  • Home Health Aide
  • Washington, DC
  • NPI 1124376538
  NPD Authorized official

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1811874548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19508 YEARLING WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123490",
            "telephone_number": "240-918-7586",
            "fax_number": "405-938-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 NW 57TH ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127070",
            "telephone_number": "240-918-7586",
            "fax_number": "405-938-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GOSHEN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "ADUA",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "NDAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-918-7586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COGHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• City Wide Physical Therapy LLC

• Substance Abuse Rehabilitation Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Substance Abuse Rehabilitation Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.