Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GOSHEN DEVELOPMENTAL DISABILITY CENTER
Active
Organization
GOSHEN DEVELOPMENTAL DISABILITY CENTER
Active
Other names
Goshen DDC
Organization subpart
No
Provider details
NPI number
Authorized official
MARCEL KALONGA (EXECUTIVE DIRECTOR)
(704) 361-9868
Entity
Organization
Contact information
Practice address
617 MORNINGSIDE RD, CHARLOTTE, NC 28214-9105
(704) 361-9868
Mailing address
3306 N 190TH PLZ, ELKHORN, NE 68022-3554
(402) 252-4497
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers