Provider Demographics
NPI:1831898360
Name:GOSHEN CARE SERVICES
Entity type:Organization
Organization Name:GOSHEN CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:FOBAH
Authorized Official - Last Name:NDANSI
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:240-701-9721
Mailing Address - Street 1:1627 K ST NW STE 400
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1711
Mailing Address - Country:US
Mailing Address - Phone:202-545-7739
Mailing Address - Fax:
Practice Address - Street 1:1627 K ST NW STE 400
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1711
Practice Address - Country:US
Practice Address - Phone:202-545-7739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No253Z00000XAgenciesIn Home Supportive Care