Organization Active NPI

Geofoa LLC

Doing business as goshen spring healthcare services

  • Point of Service
  • Celina, TX
National Provider Identifier
1982327557
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
GEOFOA LLC
Doing business as
goshen spring healthcare services
Practice address
3563 Fieldview CT
Celina, TX 75009-4552
Phone
(469) 879-4202
Fax
(469) 481-6026
NPI assigned
Sep 20, 2022
Last updated
Oct 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GEOFOA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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

Authorized official

Name
Mr. Felix Olumuyiwa Sonola-George, MD
Title
Operations
Phone
(469) 879-4202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172A00000X
Point of Service 305S00000X Primary

Addresses

Primary practice location

3563 Fieldview CT
Celina, TX 75009-4552

Mailing address

3563 Fieldview CT
Celina, TX 75009-4552
Phone (469) 879-4202

Other names 1

  • goshen spring healthcare services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Geofoa LLC3 organizations share this tax ID, including this one
Part of
Goshenspring

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665792000000",
    "number": "1982327557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 FIELDVIEW CT",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750094552",
            "telephone_number": "469-879-4202",
            "fax_number": "469-481-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 FIELDVIEW CT",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750094552",
            "telephone_number": "469-879-4202",
            "fax_number": "469-481-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFOA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEOFOA LLC",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A",
        "authorized_official_last_name": "SONOLA-GEORGE",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "OLUMUYIWA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "469-879-4202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "goshen spring healthcare services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "goshen spring healthcare services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celina, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2022; 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.