Provider Demographics
NPI:1740006618
Name:GOSHEN HOME HEALTHCARE INC
Entity type:Organization
Organization Name:GOSHEN HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EVIDENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:EGUAKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-634-2833
Mailing Address - Street 1:361 S CORNERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:VOLO
Mailing Address - State:IL
Mailing Address - Zip Code:60020-3405
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:361 S CORNERSTONE DR
Practice Address - Street 2:
Practice Address - City:VOLO
Practice Address - State:IL
Practice Address - Zip Code:60020-3405
Practice Address - Country:US
Practice Address - Phone:630-634-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care