LAND OF GOSHEN TREATMENT CENTER, INC (NPI# 1568822633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568822633 |
| Entity Type | Organization |
| Organization Name | LAND OF GOSHEN TREATMENT CENTER, INC |
| Practice Address |
81 Township Road 349 Ironton OH 45638-8617 |
| Practice Telephone | 7404497875 |
| Mailing Telephone | 7404497875 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | AMY SMITH (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7404427875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
81 TOWNSHIP ROAD 349 |
| City | IRONTON |
| State | OH |
| Zip Code | 45638-8617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271185 | Jennifer Kersey | Case Manager/Care Coordinator | 81 Township Road 349, Ironton, OH 45638-8617 | 2020-06-29 |
| 1326689589 | Jaime Bartley | Case Manager/Care Coordinator | 81 Township Road 349, Ironton, OH 45638-8617 | 2019-09-30 |
| 1598324493 | Jody Scott Wilson | Counselor | 81 Township Road 349, Ironton, OH 45638-8617 | 2019-06-13 |
| 1881250348 | Trina Miller | Counselor | 81 Township Road 349, Ironton, OH 45638-8617 | 2019-05-10 |
| 1609330943 | Tonya Phillips | Case Manager/Care Coordinator | 81 Township Road 349, Ironton, OH 45638-8617 | 2019-01-30 |
| 1780148023 | Brandy Crouch | Counselor | 81 Township Road 349, Ironton, OH 45638-8617 | 2019-01-30 |
| 1184188427 | Mandy Wallenfelsz | Case Manager/Care Coordinator | 81 Township Road 349, Ironton, OH 45638-8617 | 2019-01-30 |
| 1699244434 | Timothy Burge | Counselor | 81 Township Road 349, Ironton, OH 45638-8617 | 2018-11-23 |
| 1417434127 | Patricia May | Counselor | 81 Township Road 349, Ironton, OH 45638-8617 | 2018-07-25 |
| 1558856302 | Tim Craft | Counselor | 81 Township Road 349, Ironton, OH 45638-8617 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1457902793 | Janet Hanshaw | Technician | 1923 2nd Street, Ironton, OH 45638 | 2019-09-27 |
| 1881123149 | Paul Ryan Krum | Specialist/Technologist | 1497 County Road 44 South, Ironton, OH 45638 | 2017-06-08 |
| 1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
| 1114398633 | Ryan Munion | Licensed Practical Nurse | 1020 N 5th St, Ironton, OH 45638 | 2015-10-09 |
| 1821417411 | Bobbie Lynne Oliver | Registered Nurse | 523 Gallia Pike, Ironton, OH 45638 | 2014-04-10 |
| 1518202977 | Carol Jean Ashworth | Licensed Practical Nurse | 2932 S. 5th Street, Sanctuary of The Ohio Valley, Ironton, OH 45638 | 2012-12-11 |
| 1326337494 | April Dawn Pemberton | Registered Nurse | 97 Township Rd 1376, Ironton, OH 45638 | 2011-03-29 |
| 1437451614 | New Beginnings Behavioral Health | Social Worker | 611 Railroad St, Ironton, OH 45638 | 2010-11-22 |
| 1245532654 | Patrio D Tismo Pa Inc | Family Medicine | 107 North 3rd Street, Ironton, OH 45638 | 2010-11-18 |
| Find all providers in zip 45638 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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| 1467060764 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Ln, Montgomery, OH 45242-5119 | 2020-07-22 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1114535978 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 4365 Classic Dr, Blue Ash, OH 45241-2205 | 2020-07-17 |
| 1740800077 | Cairn Recovery Resources LLC | Substance Abuse Rehabilitation Facility | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-04-16 |
| 1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
| 1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.