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General NPI Number Information
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NPI Number | 1881238681
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Entity Type | Organization
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Legal Business Name | GOSHEN HOME CARE INC.
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 9939 FOSTER ST
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City | OVERLAND PARK
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State | KS
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Zip | 66212-2452
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Country | US
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Telephone | 913-341-2724
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Fax | 913-341-2726
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Provider Business Mailing Address
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Address Line | 9939 FOSTER ST
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City | OVERLAND PARK
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State | KS
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Zip | 66212-2452
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Country | US
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Telephone | 913-341-2724
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Fax | 913-341-2726
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Authorized Official
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Title or Position | OPERATOR
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Name | MONICA KANGETHE
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Credential | RN/BSN
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Telephone | 913-341-2724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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