Green Oaks of Goshen, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREEN OAKS OF GOSHEN, LLC

Practice address

282 Johnston St
Goshen, IN 46528-2558

Phone

(574) 501-5342

Fax

(574) 501-5343

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Greg Echols

Title

Co-Ceo of Management Agent

Phone

(779) 216-5849

Specialties & licenses 1

Addresses

Other names 1

• Green Oaks of Goshen Doing business as

Locations

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1922710284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 400",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013848",
            "telephone_number": "815-935-1992",
            "fax_number": "815-935-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 JOHNSTON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465282558",
            "telephone_number": "574-501-5342",
            "fax_number": "574-501-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OAKS OF GOSHEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CO-CEO OF MANAGEMENT AGENT",
        "authorized_official_telephone_number": "779-216-5849"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Oaks of Goshen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Oaks of Goshen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan C Graber, NP
• Anna Weaver Grady, MD
• Susanne Walker Graham, LCSW, MSW
• Cynthia J Grate, LCSW
• Kirstina Jessica Gratz, DDS
• Alyssa Green, M.A.
• Nicole Greenlee, FNP
• Mallory A Grossman, NP
• Maire Catherine Grupp, LSW
• Grace Guard

• Assisted Living Facility in Goshen, IN
• Providers in Goshen, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.