Organization Active NPI

Goshen Home Health Services Inc

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1902234859
Registry record updated Nov 4, 2013
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
3410 Lexington Dr
Tyler, TX 75701-6678
Phone
(903) 954-0124
Fax
(903) 565-4727
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mrs. Anthonia EzeigweNPI 1851728588
Title
Owner/Administrator
Phone
(903) 954-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3410 Lexington Dr
Tyler, TX 75701-6678

Mailing address

3410 Lexington Dr
Tyler, TX 75701-6678
Phone (903) 954-0124

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1902234859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 LEXINGTON DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016678",
            "telephone_number": "903-954-0124",
            "fax_number": "903-565-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 LEXINGTON DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016678",
            "telephone_number": "903-954-0124",
            "fax_number": "903-565-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "EZEIGWE",
        "authorized_official_first_name": "ANTHONIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-954-0124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.