Healthcare Provider Details

I. General information

NPI: 1356225411
Provider Name (Legal Business Name): GOSHEN HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2025
Last Update Date: 11/29/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 UPPER RIVER RD
COVINGTON GA
30016-3346
US

IV. Provider business mailing address

130 UPPER RIVER RD
COVINGTON GA
30016-3346
US

V. Phone/Fax

Practice location:
  • Phone: 470-295-2697
  • Fax: 770-784-7757
Mailing address:
  • Phone: 470-295-2697
  • Fax: 770-784-7757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SALLY ARREY
Title or Position: CEO
Credential: MSN
Phone: 470-295-2697