Provider Demographics
NPI:1225468911
Name:GOSHEN HOMECARE AND COMPANIONS LLC
Entity Type:Organization
Organization Name:GOSHEN HOMECARE AND COMPANIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CARE AND MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-531-2420
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-0174
Mailing Address - Country:US
Mailing Address - Phone:860-501-9526
Mailing Address - Fax:860-924-2639
Practice Address - Street 1:99 PIRES DR
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:CT
Practice Address - Zip Code:06370-1314
Practice Address - Country:US
Practice Address - Phone:860-531-2420
Practice Address - Fax:860-924-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA. 0000809253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care