Healthcare Provider Details

I. General information

NPI: 1821815259
Provider Name (Legal Business Name): GOSHI HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15887 SNOW RD STE 101
BROOKPARK OH
44142-2854
US

IV. Provider business mailing address

15887 SNOW RD STE 101
BROOKPARK OH
44142-2854
US

V. Phone/Fax

Practice location:
  • Phone: 216-377-6611
  • Fax: 216-377-6611
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: PREM DAHAL
Title or Position: MANAGING MEMBER
Credential:
Phone: 216-644-1900