Provider Demographics
NPI:1881238681
Name:GOSHEN HOME CARE INC.
Entity type:Organization
Organization Name:GOSHEN HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANGETHE
Authorized Official - Suffix:
Authorized Official - Credentials:RN/BSN
Authorized Official - Phone:913-341-2724
Mailing Address - Street 1:9939 FOSTER ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2452
Mailing Address - Country:US
Mailing Address - Phone:913-341-2724
Mailing Address - Fax:913-341-2726
Practice Address - Street 1:9939 FOSTER ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2452
Practice Address - Country:US
Practice Address - Phone:913-341-2724
Practice Address - Fax:913-341-2726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home