GOSHEN HOME AND CARE SERVICES LLC
NPI 1164120341
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wayne, MI
- Organization
- Residential Treatment Facility, Intellec...
About GOSHEN HOME AND CARE SERVICES LLC
This page provides the complete NPI Profile along with additional information for Goshen Home And Care Services Llc, a provider established in Wayne, Michigan operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1164120341 assigned on February 2023. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Adeshola Hutchins (President)
- NPI
- 1164120341 Verify this NPI
- Provider Name
- GOSHEN HOME AND CARE SERVICES LLC
- Entity Type
- Organization
- Location Address
- 33636 GERTRUDE STREET WAYNE, MI 48184
- Location Phone
- (734) 419-1337
- Mailing Address
- 33636 GERTRUDE STREET WAYNE, MI 48184
- Mailing Phone
- (734) 419-1337
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-17-2023
- Last Update Date
- 04-01-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164120341, enumerated as an "organization" on February 17, 2023.
The provider is located at 33636 GERTRUDE STREET WAYNE, MI 48184 and the phone number is (734) 419-1337.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.