MEDICARE: GOSHENSPRING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	385H00000X	Respite Care
5	251F00000X	Home Infusion Agency

General Provider Information

NPI Number	:	1699621003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOSHENSPRING

Provider Business Mailing Address
First Line	:	5647 W LOVERS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-4309
Country	:	US
Telephone Number	:	469-879-4202
Fax Number	:	469-481-6026

Provider Business Practice Location Address
First Line	:	5647 W LOVERS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-4309
Country	:	US
Telephone Number	:	469-879-4202
Fax Number	:	469-481-6026

Authorized Official
Title or Position	:	RN
Name	:	MS. FLORENCE SMITH
Credential	:	SMITH
Telephone Number	:	469-879-4202

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “GOSHENSPRING ” Practice Location

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