Organization
GOSHEN HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY KOENEN (ADMINISTRATOR)
(972) 664-0945
Entity
Organization
Contact information
Practice address
1255 W 15TH ST STE 900, PLANO, TX 75075-4214
(972) 664-0945
(972) 664-0139
Mailing address
1255 W 15TH ST STE 900, PLANO, TX 75075-4214
(972) 664-0945
(972) 664-0139
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010216
TX
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202114901
—
TX
Enumeration date
01/09/2007
Last updated
09/30/2024
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