Provider Type Icon

GREEN OAKS OF GOSHEN LLC NPI 1922710284


NPI Information

NPI: 1922710284
Provider Name: GREEN OAKS OF GOSHEN, LLC

Doing Business As: GREEN OAKS OF GOSHEN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 15D2283495

Address:
282 JOHNSTON ST
GOSHEN, IN
ZIP 46528
Phone: (574) 501-5342
Get Directions

GREEN OAKS OF GOSHEN, LLC is an assisted living facility in Goshen, IN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GREEN OAKS OF GOSHEN, LLC NPI is 1922710284. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Oaks Of Goshen.

The provider's business location address is:

282 JOHNSTON ST
GOSHEN, IN
ZIP 46528-558
Phone: (574) 501-5342
Fax: (574) 501-5343

The provider's authorized official is Greg Echols .
The authorized official title is Co-president Of Management Agent and has the following contact phone number (779) 216-5849.

The CLIA number assigned to this NPI record is 15D2283495 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2022 and was last updated on 1/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.