Provider Demographics
NPI:1811719131
Name:GOEL HEALTH INC.
Entity type:Organization
Organization Name:GOEL HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:HENNESSEY
Authorized Official - Last Name:NORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:951-238-7025
Mailing Address - Street 1:424 JILL DR
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-8675
Mailing Address - Country:US
Mailing Address - Phone:951-238-7025
Mailing Address - Fax:
Practice Address - Street 1:4924 TOOMES RD
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CA
Practice Address - Zip Code:95368-9310
Practice Address - Country:US
Practice Address - Phone:951-238-7025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility