Provider Demographics
NPI:1720167919
Name:GOSHEN SERVICES GROUP, LLC
Entity Type:Organization
Organization Name:GOSHEN SERVICES GROUP, LLC
Other - Org Name:GOSHEN MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:OJUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-768-4221
Mailing Address - Street 1:14203 WOLF CREEK PL
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-6196
Mailing Address - Country:US
Mailing Address - Phone:301-768-4221
Mailing Address - Fax:301-768-4254
Practice Address - Street 1:6525 BELCREST RD
Practice Address - Street 2:SUITE 519
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2003
Practice Address - Country:US
Practice Address - Phone:301-683-2130
Practice Address - Fax:301-768-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)